Identification of Ganglion cyst causing suprascapular nerve neuropathy by high resolution neurosonography
- Author:
Seena Vengalil
;
Veeramani Preethish-Kumar
;
Kiran Polavarapu
;
Kajari Bhattacharya Atchayaram Nalini
- Publication Type:Case Reports
- MeSH:
Shoulder Pain
- From:Neurology Asia
2016;21(4):381-383
- CountryMalaysia
- Language:English
-
Abstract:
Suprascapular neuropathy is a rare cause of non-specific shoulder pain affecting all age groups.
Magnetic resonance imaging is the most common modality utilized to investigate the cause of
suprascapular neuropathy. We report here a case of 22 year old man who presented with diffuse right
shoulder region pain and severe wasting of the right infraspinatus muscle of 2 months duration. He
was engaged in regular overhead activities at a gymnasium for about 2 years. A possible diagnosis
of suprascapular nerve entrapment was considered. The patient was investigated with high resolution
neurosonography, which showed a ganglion (paralabral) cyst at the spinoglenoid notch compressing
the suprascapular nerve. We propose the use of neurosonography as an economical and effective
tool for initial screening of non-specific shoulder pain with or without wasting/weakness of scapular
muscles. An early identification of the cause of the neuropathy prior to the onset of muscle weakness/
wasting, and therapeutic intervention is able to avoid permanent disability
- Full text:P020170208302796796987.pdf
