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Neuralgic Amyotrophy with Cervical Root and Cranial Nerves Involvement in a Child

Mahmoud Reza Ashrafi Shrafi1, Alireza Tavasoli1, Masood Ghahvechi Akbari2

  • 1Pediatrics Center of Excellence, Department of Pediatric Neurology, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.

Iranian Journal of Child Neurology
|October 25, 2019
PubMed

Insights

Idiopathic neuralgic amyotrophy (INA) is a rare nerve disorder causing severe upper limb pain and weakness. This report details a case in an 8-year-old boy following pharyngitis, highlighting its occurrence in pediatric populations.

Area of Science:

  • Neurology
  • Pediatric Neurology
  • Clinical Case Reports

Background:

  • Idiopathic neuralgic amyotrophy (INA) is characterized by acute, severe upper extremity pain, progressing to muscle weakness, paralysis, and atrophy.
  • While INA is predominantly reported in adults, its occurrence in pediatric cases is infrequent, with limited literature available.
  • Understanding the triggers and clinical course of INA in children is crucial for timely diagnosis and management.

Observation:

  • This report presents a rare case of INA in an 8-year-old boy residing in Iran.
  • The onset of symptoms followed a recent episode of pharyngitis.
  • The patient exhibited the typical clinical presentation of INA affecting the upper extremity.

Findings:

  • The case confirms that idiopathic neuralgic amyotrophy can affect children, even after common infections like pharyngitis.
  • This presentation underscores the importance of considering INA in the differential diagnosis of acute upper limb pain and weakness in pediatric patients.
  • The successful management and recovery, though not detailed in the abstract, are implied by reporting the case.

Implications:

  • This case expands the known spectrum of INA presentation in pediatric neurology.
  • It highlights pharyngitis as a potential preceding factor for INA in children.
  • Further research into pediatric INA is warranted to elucidate its pathophysiology, incidence, and optimal treatment strategies.

Keywords:
ChildElectromyographyNerve conduction studyNeuralgic amyotrophy

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