Tuesday, 10 July 2012

Neuralgic amyotrophy

- a.k.a brachial neuritis, Parsonage-Turner syndrome, immune-mediated brachial plexus neuropathy (IBPN)
- occurs in response to bodily stress (surgery, flu, post vaccination)
- usually presents with an acute onset of severe pain in shoulder region
- intense pain usually last several days to weeks, but dull ache can persist
- as the pain dissipates, weakness and often sensory loss are appreciated
- scapular winging in common
- empirical treatment of severe pain with glucocorticoids is often used in the acute period
- this condition is usually self limiting (improve over weeks to months)

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