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Notalgia paresthetica following neuralgic amyotrophy: a case report.
P Tacconi1, D Manca, G Tamburini
1Department of Cardiovascular and Neurological Sciences, Section of Neurology, University of Cagliari, San Giovanni di Dio Hospital, Via Ospedale 54, I-09124 Cagliari, Italy. tacconi@pacs.unica.it
Summary
This case study describes a patient who experienced notalgia paresthetica during recovery from neuralgic amyotrophy. The symptoms resolved as the long thoracic nerve palsy improved, suggesting a potential link between the two conditions.
Area of Science:
- Neurology
- Nerve Disorders
- Pain Management
Background:
- Neuralgic amyotrophy, characterized by severe shoulder pain and long thoracic nerve palsy, can lead to scapular winging.
- Notalgia paresthetica is a neuropathic itch or burning sensation in the upper back.
Observation:
- A 23-year-old woman presented with neuralgic amyotrophy, followed by the development of notalgia paresthetica during recovery.
- The burning sensation in the interscapular area emerged as scapular winging began to improve.
- Electromyography confirmed long thoracic nerve neuropathy.
Findings:
- Notalgia paresthetica resolved shortly before the complete recovery of scapular winging.
- This temporal association suggests a potential link between long thoracic nerve palsy and notalgia paresthetica.
Implications:
- Abnormal muscle activation in the shoulder girdle and spine may contribute to the co-occurrence of these conditions.
- Understanding this association could inform diagnostic and therapeutic approaches for patients with nerve injuries.