Bilateral Phrenic Nerve Palsy Associated With Neuralgic Amyotrophy

Neuralgic amyotrophy (NA) is a multifocal inflammatory neuropathy accompanied by acute pain and muscle atrophy. NA commonly affects the upper extremities, but rarely affects the phrenic nerve. Here, we report a male with neck pain, orthopnea, difficulty sleeping in the supine position, and inability...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-04, Vol.16 (4), p.e58069
Main Authors: Shiraishi, Wataru, Murata, Yuichi, Inamori, Yukiko, Matsuyoshi, Ayano, Nakazawa, Yusuke
Format: Article
Language:English
Subjects:
Antibodies
Antigens
Atrophy
Brachial plexus
Dyspnea
Heart attacks
Heart failure
Hospitals
Immunology
Neurological disorders
Respiration
Respiratory failure
Steroids
X-rays
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Summary:Neuralgic amyotrophy (NA) is a multifocal inflammatory neuropathy accompanied by acute pain and muscle atrophy. NA commonly affects the upper extremities, but rarely affects the phrenic nerve. Here, we report a male with neck pain, orthopnea, difficulty sleeping in the supine position, and inability to slurp. His saturated oxygen level decreased from 97% to 86% in the supine position. His right shoulder showed muscle atrophy. Chest X-ray examination in the supine position and a nerve conduction study showed phrenic palsy. We diagnosed it as bilateral phrenic nerve palsy associated with NA. NA sometimes causes phrenic nerve palsy and may cause slurping difficulty.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.58069