Painless Neuralgic Amyotrophy in Postpartum Woman: A Case Study and Literature Review
Keywords:
neuralgic amyotrophy, painless, atypical presentation, postpartumAbstract
Background and Objectives: Neuralgic amyotrophy (NA) is a rare peripheral nerve disorder marked by the acute onset of upper limb pain, followed by weakness and atrophy. A painless presentation is uncommon and may delay diagnosis. This case aims to highlight an atypical presentation of NA in a postpartum woman and underscore the importance of clinical evaluation, imaging, and electrodiagnostic studies.
Methods: A case study was conducted on a 34-year-old postpartum woman with left upper limb weakness, without preceding pain. Clinical examinations, magnetic resonance imaging (MRI), and electrodiagnostic studies were reviewed from medical records.
Results: The patient developed a progressive, painless weakness of the left upper extremity nine days after cesarean section. MRI revealed no abnormalities; however, electrodiagnostic studies confirmed left upper trunk brachial plexopathy, consistent with NA. The patient was treated with physical and occupational therapy.
Conclusion: Atypical, painless NA presents diagnostic challenges. Accurate diagnosis relies on comprehensive clinical evaluation, electrodiagnostic studies, and imaging. Early recognition and timely rehabilitation are crucial for achieving optimal recovery.
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