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June 1960

Neuralgic Amyotrophy of the Lower Limbs

Author Affiliations

Patiala (Punjab), India
Department of Medicine, Government Medical College.

AMA Arch Neurol. 1960;2(6):683-686. doi:10.1001/archneur.1960.03840120089010

Neuralgic amyotrophy of the upper limbs, or the "shoulder-girdle syndrome," has been described for a number of years (Spillane,1 1943), but no similar condition is known to involve the lower limbs (Parsonage and Turner,2 1948). We have come across a number of cases of a peculiar type of occupational neuritis characterized chiefly by weakness and wasting of muscles in the anterior and posterior compartments of the leg, resembling in many ways the shoulder-girdle syndrome. We are not aware that this condition has previously been described. The standard neurological textbooks3-7 do not describe the condition beyond the statement that toxic neuritis of these nerves may occur after infections and septicemic states, like typhoid, dysentery, and pneumonia. Cases similar to the above but associated with signs of peripheral neuropathy elsewhere have been observed by Chhuttani and Taylor8 (1953) from the Middle East.

The essential clinical picture is very