OLGU SUNUMLARI
Anterior İnterosseöz Sinir Paralizisini Taklit Eden Postpartum Akut Brakiyal Pleksus Nöriti
Postpartum Acute Brachial Plexus Neuritis Mimicking Anterior Interosseous Nerve Palsy
Received Date : 06 Nov 2020
Accepted Date : 20 Dec 2020
Available Online : 05 May 2021
Zeynep T. BAHTİYARCAa, Özgür Z KARAAHMETb, Cansu ÇAKMAKb
aClinic of Physical Medicine and Rehabilitation, Kırıkkale Yüksek İhtisas Hospital, Kırıkkale, TURKEY
bDepartment of Physical Medicine and Rehabilitation, University of Health Science, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, TURKEY
Doi: 10.31609/jpmrs.2020-79940 - Makale Dili: EN
J PMR Sci. 2021;24(2):186-91
ÖZET
Nöraljik amyotrofi olarak da bilinen akut brakiyal pleksus nöriti,
üst ekstremitelerde ani başlayan şiddetli ağrı, duyu bozukluğunu
kas güçsüzlüğü ve atrofinin takip ettiği nadir görülen nöromüsküler
hastalıklardan biridir. Tanı hastanın öyküsüne, fiziksel bulgularına dayanır
ve elektromiyografi ile doğrulanır. Bu olguda, normal bir gebeliği
takiben epidural anestezi altında sezaryen ile doğum yapan, ağırlıklı
olarak anterior interosseöz sinir tutulumu ile seyreden postpartum idiyopatik
nöraljik amyotrofi tespit edilen 35 yaşında bir kadın hastayı sunuyoruz.
Anahtar Kelimeler: Akut brakiyal pleksus nöriti; nöraljik amyotrofi; postpartum; anterior interosseöz sinir
ABSTRACT
Acute brachial plexus neuritis also known as neuralgic
amyotrophy (NA) is one of the rare neuromuscular diseases characterized
by sudden onset of severe pain and sensory deficits in the upper extremities
and is followed by muscle weakness and atrophy. The
diagnosis is based on the patient’s history and physical findings and is
corroborated by electromyography. In this case, we present a 35-yearold
female who developed idiopathic NA manifesting predominantly
with the involvement of the anterior interosseous nerve in the postpartum
period following normal pregnancy and delivery with cesarean section
under epidural anesthesia.
Keywords: Acute brachial plexus neuritis; neuralgic amyotrophy; postpartum; anterior interosseous nerve
REFERENCES
- Seror P. Neuralgic amyotrophy. An update. Joint Bone Spine. 2017;84:153-8. [Crossref] [PubMed]
- Smith CC, Bevelaqua AC. Challenging pain syndromes: Parsonage-Turner syndrome. Phys Med Rehabil Clin N Am. 2014;25:265-77. [Crossref] [PubMed]
- Feinberg JH, Radecki J. Parsonage-turner syndrome. HSS J. 2010;6:199-205. [Crossref] [PubMed] [PMC]
- Sneag DB, Rancy SK, Wolfe SW, et al. Brachial plexitis or neuritis? MRI features of lesion distribution in Parsonage-Turner syndrome. Muscle Nerve. 2018;58:359-66. [Crossref] [PubMed]
- Wade J, Taylor T. Postpartum Idiopathic Brachial Neuritis in a Sport Medicine Physician. J Brachial Plex Peripher Nerve Inj. 2015;10:e50-e52. [Crossref] [PubMed] [PMC]
- Dreschfeld J. On some of the rarer forms of muscular atrophıes. Brain. 1886;9(2):187-89. [Crossref]
- Sathasivam S, Lecky B, Manohar R, et al. Neuralgic amyotrophy. J Bone Joint Surg Br. 2008;90:550-3. [Crossref] [PubMed]
- Parsonage MJ, Turner JW. Neuralgic amyotrophy; the shoulder-girdle syndrome. Lancet. 1948;1:973-8. [Crossref] [PubMed]
- Stutz CM. Neuralgic amyotrophy: Parsonage-Turner Syndrome. J Hand Surg Am. 2010;35:2104-6. [Crossref] [PubMed]
- van Alfen N, van Engelen BG. The clinical spectrum of neuralgic amyotrophy in 246 cases. Brain. 2006;129:438-50. [Crossref] [PubMed]
- Lederman RJ, Wilbourn AJ. Postpartum neuralgic amyotrophy. Neurology. 1996;47:1213-9. [Crossref] [PubMed]
- Serin HM, Yılmaz S, Kanmaz S, et al. A rare cause of brachial plexopathy: hereditary neuralgic amyotrophy. Turk Pediatri Ars. 2019;54:189-191. [PubMed] [PMC]
- Llewelyn D, Llewelyn JG. Diabetic amyotrophy: a painful radiculoplexus neuropathy. Pract Neurol. 2019;19:164-7. [Crossref] [PubMed]
- Van Eijk JJ, Groothuis JT, Van Alfen N. Neuralgic amyotrophy: An update on diagnosis, pathophysiology, and treatment. Muscle Nerve. 2016;53:337-50. [Crossref] [PubMed]
- Wong L, Dellon AL. Brachial neuritis presenting as anterior interosseous nerve compression--implications for diagnosis and treatment: a case report. J Hand Surg Am. 1997;22:536-9. [Crossref] [PubMed]
- Johnson NE, Petraglia AL, Huang JH, et al. Rapid resolution of severe neuralgic amyotrophy after treatment with corticosteroids and intravenous immunoglobulin. Muscle Nerve. 2011;44:304-5. [Crossref] [PubMed]
- van Eijk JJ, van Alfen N, Berrevoets M, et al. Evaluation of prednisolone treatment in the acute phase of neuralgic amyotrophy: an observational study. J Neurol Neurosurg Psychiatry. 2009;80:1120-4. [Crossref] [PubMed]
- Hashizume H, Nishida K, Nanba Y, et al. Non-traumatic paralysis of the posterior interosseous nerve. J Bone Joint Surg Br. 1996;78:771-6. [Crossref] [PubMed]
- Sumner AJ. Idiopathic brachial neuritis. Neurosurgery. 2009;65:A150-2. [Crossref] [PubMed]
- Naito KS, Fukushima K, Suzuki S, et al. Intravenous immunoglobulin (IVIg) with methylprednisolone pulse therapy for motor impairment of neuralgic amyotrophy: clinical observations in 10 cases. Intern Med. 2012;51:1493-500. [Crossref] [PubMed]