Challenging Diagnosis and Inpatient Rehabilitation of Acute Bilateral Neuralgic Amyotrophy Possibly Attributed to Lyme Disease: A Case Report
Corresponding Author
Shangming Zhang MD
Department of Physical Medicine and Rehabilitation, Penn State Hershey Rehabilitation Hospital, Penn State Hershey Medical Center, Hershey, PA 17033
Department of Neurology, Cleveland Clinic Foundation, Cleveland, OH
Department of Physical Medicine and Rehabilitation, Penn State Hershey Rehabilitation Hospital, Penn State Hershey Medical Center, Hershey, PA
Disclosure: nothing to disclose
Address correspondence to: S.Z.Search for more papers by this authorLucy Q. Zhang MD
Department of Physical Medicine and Rehabilitation, Penn State Hershey Rehabilitation Hospital, Penn State Hershey Medical Center, Hershey, PA 17033
Department of Neurology, Cleveland Clinic Foundation, Cleveland, OH
Department of Physical Medicine and Rehabilitation, Penn State Hershey Rehabilitation Hospital, Penn State Hershey Medical Center, Hershey, PA
Disclosure: nothing to disclose
Search for more papers by this authorMegan Wright PA-C
Department of Physical Medicine and Rehabilitation, Penn State Hershey Rehabilitation Hospital, Penn State Hershey Medical Center, Hershey, PA 17033
Department of Neurology, Cleveland Clinic Foundation, Cleveland, OH
Department of Physical Medicine and Rehabilitation, Penn State Hershey Rehabilitation Hospital, Penn State Hershey Medical Center, Hershey, PA
Disclosure: nothing to disclose
Search for more papers by this authorDavid R. Gater MD, PhD
Department of Physical Medicine and Rehabilitation, Penn State Hershey Rehabilitation Hospital, Penn State Hershey Medical Center, Hershey, PA 17033
Department of Neurology, Cleveland Clinic Foundation, Cleveland, OH
Department of Physical Medicine and Rehabilitation, Penn State Hershey Rehabilitation Hospital, Penn State Hershey Medical Center, Hershey, PA
Disclosure: nothing to disclose
Search for more papers by this authorCorresponding Author
Shangming Zhang MD
Department of Physical Medicine and Rehabilitation, Penn State Hershey Rehabilitation Hospital, Penn State Hershey Medical Center, Hershey, PA 17033
Department of Neurology, Cleveland Clinic Foundation, Cleveland, OH
Department of Physical Medicine and Rehabilitation, Penn State Hershey Rehabilitation Hospital, Penn State Hershey Medical Center, Hershey, PA
Disclosure: nothing to disclose
Address correspondence to: S.Z.Search for more papers by this authorLucy Q. Zhang MD
Department of Physical Medicine and Rehabilitation, Penn State Hershey Rehabilitation Hospital, Penn State Hershey Medical Center, Hershey, PA 17033
Department of Neurology, Cleveland Clinic Foundation, Cleveland, OH
Department of Physical Medicine and Rehabilitation, Penn State Hershey Rehabilitation Hospital, Penn State Hershey Medical Center, Hershey, PA
Disclosure: nothing to disclose
Search for more papers by this authorMegan Wright PA-C
Department of Physical Medicine and Rehabilitation, Penn State Hershey Rehabilitation Hospital, Penn State Hershey Medical Center, Hershey, PA 17033
Department of Neurology, Cleveland Clinic Foundation, Cleveland, OH
Department of Physical Medicine and Rehabilitation, Penn State Hershey Rehabilitation Hospital, Penn State Hershey Medical Center, Hershey, PA
Disclosure: nothing to disclose
Search for more papers by this authorDavid R. Gater MD, PhD
Department of Physical Medicine and Rehabilitation, Penn State Hershey Rehabilitation Hospital, Penn State Hershey Medical Center, Hershey, PA 17033
Department of Neurology, Cleveland Clinic Foundation, Cleveland, OH
Department of Physical Medicine and Rehabilitation, Penn State Hershey Rehabilitation Hospital, Penn State Hershey Medical Center, Hershey, PA
Disclosure: nothing to disclose
Search for more papers by this authorAbstract
Neuralgic amyotrophy (NA) is a neurologic syndrome of unknown etiology primarily affecting the brachial plexus. We are reporting an unusual case of acute bilateral NA that was possibly secondary to Lyme disease. The patient demonstrated significant functional gains and was discharged home after 2 weeks of inpatient rehabilitation, supporting the role of inpatient rehabilitation in acute NA. In this report, we discuss the diagnosis, electrodiagnostic progression, pain management, goals for inpatient rehabilitation, and overall prognosis of NA.
Level of Evidence
V
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