Magnetic Resonance Neurography in a Patient with Distal Neuralgic Amyotrophy

  • Nagao Ryunosuke
    Department of Neurology, Fujita Health University School of Medicine, Japan
  • Ishikawa Tomomasa
    Department of Neurology, Fujita Health University School of Medicine, Japan
  • Mizutani Yasuaki
    Department of Neurology, Fujita Health University School of Medicine, Japan
  • Niimi Yoshiki
    Department of Neurology, Fujita Health University School of Medicine, Japan
  • Shima Sayuri
    Department of Neurology, Fujita Health University School of Medicine, Japan
  • Ito Mizuki
    Department of Neurology, Fujita Health University School of Medicine, Japan
  • Murayama Kazuhiro
    Department of Radiology, Fujita Health University School of Medicine, Japan
  • Toyama Hiroshi
    Department of Radiology, Fujita Health University School of Medicine, Japan
  • Ueda Akihiro
    Department of Neurology, Fujita Health University School of Medicine, Japan
  • Watanabe Hirohisa
    Department of Neurology, Fujita Health University School of Medicine, Japan

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Abstract

<p>The pathophysiology of neuralgic amyotrophy (NA) remains to be elucidated. However, high-resolution magnetic resonance imaging and ultrasound sonography have provided new insights into the mechanism underlying the development of NA and its diagnosis. We report a case of idiopathic distal NA with hyperintensity and thickening in the inferior trunk extending to the posterior and medial fasciculus of the left brachial plexus, which was detected by magnetic resonance neurography (MRN) with diffusion-weighted whole-body imaging with background body signal suppression (DWIBS). The abnormal signal intensity diminished after the improvement of symptoms following corticosteroid treatment. MRN with DWI can help diagnose distal NA and evaluate the post-therapeutic response. </p>

Journal

  • Internal Medicine

    Internal Medicine 60 (11), 1759-1761, 2021-06-01

    The Japanese Society of Internal Medicine

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