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neuralgic amyotrophy

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neu·ral·gic a·my·ot·ro·phy

a neurologic disorder, of unknown cause, characterized by the sudden onset of severe pain, usually about the shoulder and often beginning at night, soon followed by weakness and wasting of various forequarter muscles, particularly shoulder girdle muscles; both sporadic and familial in occurrence with the former much more common; often preceded by some antecedent event, such as an upper respiratory infection, hospitalization, vaccination, or nonspecific trauma; usually attributed to a brachial plexus lesion, because the nerve fibers involved are most often derived from the upper trunk.
Farlex Partner Medical Dictionary © Farlex 2012

shoulder girdle syndrome

A condition evoked by upregulation of the sympathetic nervous system.
 
Aetiology
Contusions, fractures, neurovascular injuries.
 
Clinical findings
Acute searing pain, marked muscle-weakness, vasomotor lability, oedema, osteoporosis and, with time, wasting of the shoulder girdle and upper arm.
 
DiffDx
• Acute phase—Frozen shoulder, calcific tendonitis or arthritis.
• Chronic phase—Rotator cuff tears, nerve root compression.
Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.

neu·ral·gic a·my·ot·ro·phy

(nūr-al'jik ā'mī-ot'rŏ-fē)
A neurologic disorder of unknown cause, characterized by the sudden onset of severe pain, usually about the shoulder and often beginning at night, soon followed by weakness and wasting of various forequarter muscles, particularly shoulder girdle muscles; both sporadic and familial in occurrence with the former much more common; often preceded by some antecedent event, such as an upper respiratory infection, hospitalization, vaccination, or nonspecific trauma; usually attributed to a brachial plexus lesion, because the nerve fibers involved are most often derived from the upper trunk, but actually multiple proximal mononeuropathies.
Synonym(s): shoulder-girdle syndrome.
Medical Dictionary for the Health Professions and Nursing © Farlex 2012
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References in periodicals archive
The patient was determined to be in the chronic musculoskeletal and paretic phase of neuralgic amyotrophy (1) with residual biomechanical pain contributed via paresis of the right serratus anterior.
The patient was provided with educational materials regarding the benign nature and treatment options for the management of neuralgic amyotrophy. The patient was referred to his primary care physician for co-management of the patient, particularly in relation to the patient's desire to discontinue his prescribed pain medication.
PTS, also called brachial neuritis or neuralgic amyotrophy, occurred in 4 of the 15 patients
Neuralgic amyotrophy and hepatitis E virus infection.
Van Engelen, "The clinical spectrum of neuralgic amyotrophy in 246 cases," Brain, vol.
Neuralgic amyotrophy associated with hepatitis E virus.
Neuralgic amyotrophy: an increasingly diverse entity.
Evidence of a founder effect and refinement of the hereditary neuralgic amyotrophy (HNA) locus on 17q25 in American families.
reported a case of HEV genotype 3-induced neuralgic amyotrophy in which HEV RNA was detected in the serum of patients with neurologic signs and symptoms (14), and we recently detected HEV RNA in the cerebrospinal fluid (CSF) of a kidney-transplant recipient with chronic HEV infection and neurologic signs and symptoms (15).
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