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Spontaneous anterior interosseous nerve palsy with Churg–Strauss syndrome

  • Case Report
  • Published:
Modern Rheumatology

Abstract

A 74-year-old woman diagnosed with Churg–Strauss syndrome (CSS) complained of difficulty in flexing her left thumb and index finger. Electromyography demonstrated isolated anterior interosseous nerve (AIN) palsy, with no other peripheral neuropathy. We diagnosed this case as spontaneous AIN palsy complicated with CSS, the first case of this kind. Surgical treatment should be considered if no sign of recovery is seen within six months of onset.

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Abbreviations

AIN:

Anterior interosseous nerve

CSS:

Churg–Strauss syndrome

PIN:

Posterior interosseous nerve

FDP1:

Flexor digitorum profundus to the index finger

FPL:

Flexor pollicis longus

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Acknowledgments

We would like to thank to Dr. H. Nozaki, Dr. Y. Osone, Dr. T. Suzuki and Dr. H. Taguchi at the Department of Internal Medicine, Kawasaki Municipal Kawasaki Hospital and Dr. H. Sugiura and Dr. R. Irie at the Department of Pathology, Kawasaki Municipal Kawasaki Hospital for helpful discussions. We also would like to thank to Prof. Y. Toyama, Dr. T. Matsumura, Dr. H. Ikegami, Dr. T. Nakamura, Dr. K. Sato and other members of the Hand Surgery Group, Keio University School of Medicine, for helpful suggestions.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Kawasaki Municipal Kawasaki Hospital, 12-1 Shinkawa-dori, Kawasaki-ku, Kawasaki, Kanagawa, 210-0013, Japan

    Kensuke Ochi, Yukio Horiuchi & Hidekazu Kawashima

  2. Department of Orthopaedic Surgery, Ogikubo Hospital, Tokyo, Japan

    Kenichi Tazaki

  3. Department of Rheumatology, Kawasaki Municipal Kawasaki Hospital, Kanagawa, Japan

    Kazuo Nishi

  4. Saitama Medical Center, Jichi Medical University, Shimotsuke, Japan

    Hiroki Yabe

Authors
  1. Kensuke Ochi
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  2. Yukio Horiuchi
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  3. Kenichi Tazaki
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  4. Kazuo Nishi
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  5. Hidekazu Kawashima
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  6. Hiroki Yabe
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Corresponding author

Correspondence to Kensuke Ochi.

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Ochi, K., Horiuchi, Y., Tazaki, K. et al. Spontaneous anterior interosseous nerve palsy with Churg–Strauss syndrome. Mod Rheumatol 20, 514–517 (2010). https://doi.org/10.1007/s10165-010-0304-8

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  • DOI: https://doi.org/10.1007/s10165-010-0304-8

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