Jung JW, Park YC, Lee JY, Park JH, Jang SH. Bilateral musculocutaneous neuropathy: A case report. World J Clin Cases 2021; 9(5): 1237-1246 [PMID: 33644190 DOI: 10.12998/wjcc.v9.i5.1237]
Corresponding Author of This Article
Seong Ho Jang, MD, PhD, Professor, Department of Rehabilitation Medicine, Hanyang University Guri Hospital, No. 153 Gyeongchun-ro, Guri 11923, South Korea. systole77@hanmail.net
Research Domain of This Article
Clinical Neurology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Feb 16, 2021; 9(5): 1237-1246 Published online Feb 16, 2021. doi: 10.12998/wjcc.v9.i5.1237
Bilateral musculocutaneous neuropathy: A case report
Ji Won Jung, Yu Chan Park, Jae Young Lee, Jae Hyeon Park, Seong Ho Jang
Ji Won Jung, Yu Chan Park, Jae Young Lee, Department of Rehabilitation Medicine, Hanyang University Hospital, Seoul 04763, South Korea
Jae Hyeon Park, Seong Ho Jang, Department of Rehabilitation Medicine, Hanyang University Guri Hospital, Guri 11923, South Korea
Author contributions: Jung JW reviewed the literature and contributed to manuscript drafting; Park YC reviewed the literature and interviewed the patient; Lee JY and Park JH performed the electrodiagnostic study and contributed to interpretation of imaging and electrodiagnostic studies; Jang SH was responsible for manuscript revision and intellectual content; All authors issued approval for submission of the final version.
Supported byThe Data Construction Learning Program for artificial intelligence (20200803-FS4T, Sector 20 Medical and Health AI Data) funded by the National Information Society Agency, Ministry of Science and ICT.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016) and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Seong Ho Jang, MD, PhD, Professor, Department of Rehabilitation Medicine, Hanyang University Guri Hospital, No. 153 Gyeongchun-ro, Guri 11923, South Korea. systole77@hanmail.net
Received: December 3, 2020 Peer-review started: December 3, 2020 First decision: December 13, 2020 Revised: December 14, 2020 Accepted: December 22, 2020 Article in press: December 22, 2020 Published online: February 16, 2021 Processing time: 58 Days and 4.5 Hours
Abstract
BACKGROUND
Isolated musculocutaneous nerve injury is a rare condition. Herein, we report the first case of bilateral musculocutaneous neuropathy after vigorous stretching of both upper extremities with normal results of sensory nerve action potential. Clinicians should be aware of this rare condition that can appear bilaterally. In addition, the interpretation of the aberrant electrodiagnostic study results of this case was discussed.
CASE SUMMARY
A 29-year-old male complaining of bilateral forearm tingling and upper extremity weakness visited the outpatient clinic. The symptoms began 6 mo prior, and he visited another hospital before visiting our department. The diagnosis was not made even after cervical spine magnetic resonance imaging, electrodiagnostic study, brain magnetic resonance imaging, and arteriography were conducted. The patient performed unique exercises that stretched the pectoralis minor and coracobrachialis muscles. On the follow-up electrodiagnostic study, abnormal spontaneous activities in the bilateral biceps and brachialis muscles were observed. The patient was diagnosed with bilateral musculocutaneous neuropathy. Steroid pulse therapy was administered for approximately 6 wk. After treatment, his muscle strength returned to the predisease condition.
CONCLUSION
Clinicians should be aware of this condition, have adequate understanding of anatomy, and advise to correct inappropriate exercises.
Core Tip: We report the first case of bilateral musculocutaneous neuropathy after vigorous stretching of both upper extremities with normal results of sensory nerve action potential. We recommend clinicians be aware of this rare condition that can occur bilaterally. In addition, the interpretation of aberrant electrodiagnostic study results of this case is discussed.
