Challenging Diagnosis and Inpatient Rehabilitation of Acute Bilateral Neuralgic Amyotrophy Possibly Attributed to Lyme Disease: A Case Report. Issue 7 (20th December 2017)

• Record Type: Journal Article
• Authors: Zhang, Shangming; Zhang, Lucy Q.; Wright, Megan; Gater, David R.
• Is Part Of: PM&R. Volume 10:Issue 7(2018)
• Page Start: 770
• Page End: 774
• Publication Date: 2017-12-20
• Subjects: Medical rehabilitation -- Periodicals; Physical therapy -- Periodicals; Physical Therapy Modalities -- Periodicals; 615.5
• DOI: 10.1016/j.pmrj.2017.11.018
• Languages: English
• ISSNs: 1934-1482

Abstract

Abstract: 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