Brachial neuralgic amyotrophy, a rare disease with serious diagnostic problems - case report

Neuralgic amyotrophy(NA), is a rare and highly variable neurological disorder of unknown aetiology that causes serious diagnostic problems. We described a case of NA with atrophy of the brachialis muscle in order to enrich clinicians’ knowledge about this disorder and to help them in the proper dia...

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Main Authors: Krzysztof Świerz, Weronika Wacławik, Julia Szafraniec, Katarzyna Szczurek, Dawid Szczepanek, Natalia Lewoniuk, Mateusz Biesok, Julianna Szwancyber, Maksymilian Macherski, Anna Szwinge
Format: Article
Language:English
Published: Kazimierz Wielki University 2024-02-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/48500
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author Krzysztof Świerz
Weronika Wacławik
Julia Szafraniec
Katarzyna Szczurek
Dawid Szczepanek
Natalia Lewoniuk
Mateusz Biesok
Julianna Szwancyber
Maksymilian Macherski
Anna Szwinge
author_facet Krzysztof Świerz
Weronika Wacławik
Julia Szafraniec
Katarzyna Szczurek
Dawid Szczepanek
Natalia Lewoniuk
Mateusz Biesok
Julianna Szwancyber
Maksymilian Macherski
Anna Szwinge
author_sort Krzysztof Świerz
collection DOAJ
description Neuralgic amyotrophy(NA), is a rare and highly variable neurological disorder of unknown aetiology that causes serious diagnostic problems. We described a case of NA with atrophy of the brachialis muscle in order to enrich clinicians’ knowledge about this disorder and to help them in the proper diagnosis of NA. A 21-year-old man presented with sudden, severe pain in the right biceps muscle. The man had consultations with several doctors and physiotherapists. Three magnetic resonance imaging (MRI) examinations, a nerve conduction study (NCS) and needle electromyography (EMG) were performed. Only after 6 months, based on medical history, physical examination and ultrasound imaging (USI), the physiotherapist suggested NA, which was later on confirmed by a neurologist. This case description of NA showed a variety of symptoms that made it difficult to establish an accurate diagnosis for a longer period of time. The diagnostic procedure, as well as the prolonged time between the onset of symptoms and diagnosis, indicates the need for further education of clinicians to better understand the symptoms of NA.
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spelling doaj.art-0cc413ae91ac4a3e82d45ce644c769502024-03-01T11:52:58ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062024-02-016310.12775/JEHS.2024.63.012Brachial neuralgic amyotrophy, a rare disease with serious diagnostic problems - case reportKrzysztof Świerz0Weronika Wacławik1Julia Szafraniec2Katarzyna Szczurek3Dawid Szczepanek4Natalia Lewoniuk5Mateusz Biesok6Julianna Szwancyber7Maksymilian Macherski8Anna Szwinge9St. Barbara Specjalist Hospital no. 5 in Sosnowiec St. Barbara Specjalist Hospital no. 5 in SosnowiecNational Medical Institute of the Ministry of the Interior and Administration in WarsawSt. Barbara Specjalist Hospital no. 5 in Sosnowiec St. Barbara Specjalist Hospital no. 5 in Sosnowiec Międzyleski Specialist Hospital in WarsawMiędzyleski Specialist Hospital in WarsawDistrict Hospital in ChrzanówBonifrater Medical Center Branch in KatowiceBonifrater Medical Center Branch in Katowice Neuralgic amyotrophy(NA), is a rare and highly variable neurological disorder of unknown aetiology that causes serious diagnostic problems. We described a case of NA with atrophy of the brachialis muscle in order to enrich clinicians’ knowledge about this disorder and to help them in the proper diagnosis of NA. A 21-year-old man presented with sudden, severe pain in the right biceps muscle. The man had consultations with several doctors and physiotherapists. Three magnetic resonance imaging (MRI) examinations, a nerve conduction study (NCS) and needle electromyography (EMG) were performed. Only after 6 months, based on medical history, physical examination and ultrasound imaging (USI), the physiotherapist suggested NA, which was later on confirmed by a neurologist. This case description of NA showed a variety of symptoms that made it difficult to establish an accurate diagnosis for a longer period of time. The diagnostic procedure, as well as the prolonged time between the onset of symptoms and diagnosis, indicates the need for further education of clinicians to better understand the symptoms of NA. https://apcz.umk.pl/JEHS/article/view/48500neuralgic amyotrophybrachialis amyotrophycase reportmagnetic resonance imagingneedle electromyographynerve conduction study
spellingShingle Krzysztof Świerz
Weronika Wacławik
Julia Szafraniec
Katarzyna Szczurek
Dawid Szczepanek
Natalia Lewoniuk
Mateusz Biesok
Julianna Szwancyber
Maksymilian Macherski
Anna Szwinge
Brachial neuralgic amyotrophy, a rare disease with serious diagnostic problems - case report
Journal of Education, Health and Sport
neuralgic amyotrophy
brachialis amyotrophy
case report
magnetic resonance imaging
needle electromyography
nerve conduction study
title Brachial neuralgic amyotrophy, a rare disease with serious diagnostic problems - case report
title_full Brachial neuralgic amyotrophy, a rare disease with serious diagnostic problems - case report
title_fullStr Brachial neuralgic amyotrophy, a rare disease with serious diagnostic problems - case report
title_full_unstemmed Brachial neuralgic amyotrophy, a rare disease with serious diagnostic problems - case report
title_short Brachial neuralgic amyotrophy, a rare disease with serious diagnostic problems - case report
title_sort brachial neuralgic amyotrophy a rare disease with serious diagnostic problems case report
topic neuralgic amyotrophy
brachialis amyotrophy
case report
magnetic resonance imaging
needle electromyography
nerve conduction study
url https://apcz.umk.pl/JEHS/article/view/48500
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