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Sujit Iyer, MD, MS; Rakesh Mistry, MD, MS

Arch Pediatr Adolesc Med. 2009;163(3):275.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A previously healthy 4-year-old boy presented with left arm weakness and pain that had lasted 1 day. He had no history of trauma, headache, tick bites, or numbness or tingling in his extremities. The child had had coryza 1 week earlier, which self-resolved. On physical examination, the child appeared well and had normal vital signs. Neurologic examination demonstrated 3 out of 5 strength of the left shoulder girdle muscles and 4 out of 5 strength of the left lower arm, with normal sensation. He had decreased strength with abduction and external rotation of the left shoulder. The patient could not elevate the left arm past 80° (Figure 1 and Figure 2). The results of the remainder of his physical examination were normal.

Figure appears in full text version. Figure 1. Anterior view of the shoulder fully raised.

Figure appears in full text version. Figure 2. Posterior view of the shoulder fully raised.

. . . [Full Text of this Article]

Author Affiliations: Pediatric Emergency Medicine, Division of Emergency Medicine, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

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Arch Pediatr Adolesc Med. 2009;163(3):276.
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