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Assessing Working Memory in Children: The Comprehensive Assessment Battery for Children – Working Memory (CABC-WM)
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Neuralgic amyotrophy in children.

Fouad Al-Ghamdi1,2, Partha S Ghosh1

  • 1Department of Neurology, Boston Children's Hospital, 300 Longwood Avenue, Boston, Massachusetts, 02115, USA.

Muscle & Nerve
|January 10, 2018
PubMed
Summary
This summary is machine-generated.

Neuralgic amyotrophy (NA) in children presents with pain and weakness, often affecting shoulder muscles. Diagnosis requires awareness due to its rarity, with many experiencing persistent symptoms.

Keywords:
EMGParsonage−Turner syndromebrachial plexitischildrenneuralgic amyotrophyneuropathy

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Area of Science:

  • Pediatric Neurology
  • Neuromuscular Disorders

Background:

  • Neuralgic amyotrophy (NA) is a rare condition characterized by pain, muscle weakness/atrophy, and sensory symptoms.
  • While typically seen in adults, NA can affect children, necessitating increased clinical awareness for timely diagnosis.

Purpose of the Study:

  • To describe the clinical characteristics, diagnostic findings, and outcomes of pediatric patients diagnosed with Neuralgic Amyotrophy.
  • To highlight the presentation and management of NA in a pediatric population.

Main Methods:

  • Retrospective review of 22 pediatric patients (≤18 years) diagnosed with NA between 2003 and 2017 at a single pediatric center.
  • Analysis of clinical presentation, electromyography (EMG) findings, treatment, and follow-up data.

Main Results:

  • Pain was the initial symptom in all 22 patients. Periscapular muscle weakness and scapular winging were common.
  • EMG revealed sensory nerve abnormalities in 5 patients and neurogenic changes, particularly in the serratus anterior muscle.
  • Over half of the patients experienced persistent pain and residual motor deficits at follow-up.

Conclusions:

  • Neuralgic amyotrophy is rare in children but presents similarly to adults, emphasizing the need for clinician awareness to prevent diagnostic delays.
  • Supportive care is the primary treatment, though immunotherapy was used in some cases. Significant residual symptoms are common.
  • Early recognition and management are crucial for improving outcomes in pediatric NA.