Idiopathic Neuralgic Amyotrophy in a Child Treated with Integrated Rehabilitation Program: A Case Report

Sung Il Hwang
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Abstract

Idiopathic neuralgic amyotrophy (INA) in children is a rare peripheral neuropathy showing distinctive clinical features. An 8-year-old boy presented with left shoulder pain and weakness lasting 4 weeks. He had learned Taekwondo and swimming before the onset of pain. A fever had developed 10 weeks before onset but had completely resolved after medication. Initially, he was diagnosed with shoulder subluxation and underwent successful reduction. However, he continued to complain of persistent pain and weakness. All the studies indicated normal findings, except for the electrodiagnostic assessment, which revealed partial brachial plexopathy. A rehabilitation program was performed. It consisted of physical and occupational therapy twice a week. After 5-month rehabilitation, the patient remarkably improved in both neurologic and functional status. INA should be considered and evaluated in cases with abrupt onset of shoulder pain and weakness in children. Also, an integrated rehabilitation program during the subacute phase can be helpful to facilitate neurologic and functional recovery and reduce sequelae.
综合康复计划治疗的特发性神经性肌萎缩症患儿:病例报告
儿童特发性神经性肌萎缩症(INA)是一种罕见的周围神经病,具有独特的临床特征。一名 8 岁男孩出现左肩疼痛和无力,持续了 4 周。在出现疼痛之前,他曾学习过跆拳道和游泳。发病前 10 周曾发烧,但服药后完全退烧。最初,他被诊断为肩关节脱位,并成功接受了肩关节复位手术。然而,他一直抱怨持续疼痛和无力。所有检查结果均显示正常,只有电诊断评估显示部分臂丛神经病变。他接受了康复治疗。康复计划包括每周两次的物理和职业治疗。经过 5 个月的康复治疗,患者的神经和功能状况都有了显著改善。对于突然出现肩部疼痛和无力的儿童病例,应考虑并评估 INA。此外,亚急性期的综合康复计划也有助于促进神经和功能的恢复,减少后遗症。
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