미주신경과 척수더부신경을 병발한 신경통근육위축증 1예
A Case of Neuralgic Amyotrophy with Vagus and Spianl Accessory Nerve Involvement
윤철호, 신희석, 이은신,
소속 상세정보
윤철호 ( Yoon Chul-Ho )
경상대학교 의과대학 재활의학교실
신희석 ( Shin Hee-Suk )
경상대학교 의과대학 재활의학교실
이은신 ( Lee Eun-Shin )
경상대학교 의과대학 재활의학교실
KMID : 0860920040060020188
Abstract
Neuralgic amyotrophy is a clinical disorder characterized by the acute onset of shoulder and arm pain,followed by weakness and often wasting of involved muscles. The most common pattern of neuralgic amyotrophy appears to be either a single or multiple mononeuropathy primarily affecting the suprascapular, long thoracic, or axillary nerves. Rarely, multiple cranial nerves (IX, X, XI, and XII) can be involved. We experienced a 30-year-old male patient presented with paralysis of upper trapezius and sternocleidomastoid muscles as well as hoarseness which had appreared after anal surgery under spinal anesthesia. The patient has had vocal cord paralysis on the laryngoscopy and electrodiagnostic studies showed spinal accessory neuropathy at the proximal segment. Neuroradiological investigations including cervical MRI, skull base CT, and brain MRI with MR angiography showed no causative pathology.
키워드
Neuralgic amyotrophy;Vagus nerve;Spinal accessory nerve
원문 및 링크아웃 정보
등재저널 정보