Notalgia paresthetica following neuralgic amyotrophy: a case report.
2004
We report the case of a patient who developed notalgia
paresthetica during the recovery from a neuralgic amyotrophy. A
23-year-old woman had a typical neuralgic amyotrophy (severe
shoulder pain, followed by a long thoracic nerve palsy); five
months after the onset of pain, when scapular winging was
improving, she began to feel a burning sensation in a restricted
interscapular area, on the same side. Electromyography was
consistent with a long thoracic nerve neuropathy, with minor
neurogenic changes in deltoid and biceps brachii. Radiography of
the spine was unremarkable. The notalgia paresthetica
disappeared shortly before the complete recovery of scapular
winging. The abnormal activation of shoulder girdle and spine
extensor muscles during the time of long thoracic nerve palsy
may explain the association between the two disorders.
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