Non-traumatic brachial plexopathies, clinical, radiological and neurophysiological findings from a tertiary centre

Mullins, Gerard; O'Sullivan, SS; Neligan, Aidan; Daly, Seán; Galvin, R.; Sweeney, Brian; McNamara, Brian

doi:10.1016/j.clineuro.2007.05.010

Cited by 25 publications

(20 citation statements)

References 17 publications

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“…Parsonage and Turner 11) reported that there was evidence of some precipitating factor in 98 of the 136 cases they examined. Preci- pitating factors include trauma, infection, previous operations, medications, neoplasms, and thoracic outlet syndrome 10,11,15,19) . Trauma is the most common cause of brachial plexopathy, while the most common cause of non-traumatic brachial plexopathy is idiopathic brachial neuritis, namely NA 10) .…”

Section: Discussionmentioning

confidence: 99%

“…Preci- pitating factors include trauma, infection, previous operations, medications, neoplasms, and thoracic outlet syndrome 10,11,15,19) . Trauma is the most common cause of brachial plexopathy, while the most common cause of non-traumatic brachial plexopathy is idiopathic brachial neuritis, namely NA 10) . To diagnose NA, medical history taking and physical examination are critical 14) .…”

Section: Discussionmentioning

confidence: 99%

“…It is a rare condition and its incidence is approximately 1.64/ 100,000/year 15) . Precipitating factors include infectious diseases, connective tissue diseases, immunizations/medications, pregnancy, and surgical operations; however, approximately 54% of patients have no known precipitating factors 10,11,15,19) . Diagnosis is based on the patient's medical history, clinical symptoms, and physical examination results 14,22) .…”

Section: Introductionmentioning

confidence: 99%

“…Diagnosis is based on the patient's medical history, clinical symptoms, and physical examination results 14,22) . The most helpful diagnostic modalities are neurophysiologic and neuroradiologic studies 5,7,10,14) . However, the initial symptoms of NA are very similar to the symptoms of other neurological diseases and shoulder disorders.…”

Section: Introductionmentioning

confidence: 99%

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Neuroradiologic and Neurophysiologic Findings of Neuralgic Amyotrophy

Cho

Heo

et al. 2010

J Korean Neurosurg Soc

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Objective : Neuralgic amyotrophy (NA) is a distinct clinical syndrome that is characterized by the acute onset of shoulder and arm pain, weakness, and sensory loss. The purpose of this study was to assess the clinical characteristics of NA and to determine appropriate diagnostic modalities. Methods : We reviewed the medical and radiologic records of 10 patients diagnosed with NA retrospectively. Neurophysiologic studies were performed in all patients and magnetic resonance neurography was performed in the last three patients. Results : A total of 10 patients were enrolled in our study. All patients had clinical findings compatible with NA. The most common clinical presentation was severe shoulder pain and weakness in seven patients (70%). Neurophysiologic study results were abnormal in all patients. Brachial plexus magnetic resonance neurography showed that the affected brachial plexus showed a thickened and hyper-intense trunk. All patients were managed conservatively with analgesics and physical therapy. The pain and paralysis of all patients improved clinically within 6 months of the initiation of treatment. Conclusion : NA is a rare disease but the symptoms of NA can mimic those of other diseases. Neurophysiologic studies and magnetic resonance neurography are extremely useful tools for the diagnosis of NA. KEY WORDS :Neuralgic amyotrophy˙ Brachial plexus˙ Diagnosis˙ Neurophysiology˙ Magnetic resonance imaging.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Neuroradiologic and Neurophysiologic Findings of Neuralgic Amyotrophy

Cho

Heo

et al. 2010

J Korean Neurosurg Soc

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show abstract

“…While brachial neuritis is a rare condition, it is the most common cause of nontraumatic brachial plexopathy [6]. This condition has been misinterpreted or misdiagnosed as rotator cuff pathology, adhesive capsulitis, tendonitis, cervical radiculopathy, compression neuropathy, tumor of the spine or brachial plexus, amyotrophic lateral sclerosis, herpes zoster, and acute poliomyelitis.…”

Section: Introductionmentioning

confidence: 99%