Relapsing Bilateral Brachial Plexopathy During Pregnancy

Redmond, Janice; Cros, Didier; Martin, Joseph B.; Shahani, Bhagwan T.

doi:10.1001/archneur.1989.00520400122032

Cited by 14 publications

(2 citation statements)

References 10 publications

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“…In our patients, the variable age of onset, male‐to‐female ratio, antecedent illness in some of the cases, pain at sudden onset as the first manifestation followed at variable intervals (days to weeks) by weakness and muscle atrophy, and less sensory involvement are in accordance with previous reports ( Parsonage and Turner, 1948 ; Turner, 1957 ; Tsairis et al, 1972 ; England and Sumner, 1987; 1996 ; England, 1999 ) . The occurrence of NA during post‐partum and pregnancy periods (3 of our cases) has also been reported ( Redmond et al, 1989 ; Lederman and Wilbourn, 1996 ) . Our series of 40 consecutive cases includes 7 relapsing forms ( Parsonage and Turner, 1948 ; Turner, 1957 ; Tsairis et al, 1972 ; Geiger et al, 1974 ; Subramony, 1988 ; Redmond et al, 1989 ; Arpa et al, 1991 ) , but no familial history ( Taylor, 1960 ; Smith et al, 1971 ; Geiger et al, 1974 ; Phillips, 1986 ; Pellegrino et al, 1996 ) .…”

Section: Discussionsupporting

confidence: 71%

“…The occurrence of NA during post‐partum and pregnancy periods (3 of our cases) has also been reported ( Redmond et al, 1989 ; Lederman and Wilbourn, 1996 ) . Our series of 40 consecutive cases includes 7 relapsing forms ( Parsonage and Turner, 1948 ; Turner, 1957 ; Tsairis et al, 1972 ; Geiger et al, 1974 ; Subramony, 1988 ; Redmond et al, 1989 ; Arpa et al, 1991 ) , but no familial history ( Taylor, 1960 ; Smith et al, 1971 ; Geiger et al, 1974 ; Phillips, 1986 ; Pellegrino et al, 1996 ) . An autoimmune cause has been suspected because some cases present after vaccination, infection, illness, surgery, or childbirth ( Turner, 1957 ; Tsairis et al, 1972 ; England and Sumner, 1987 ; Pierre et al, 1990 ; Lederman and Wilbourn, 1996 ) , but in general laboratory studies have not shown specific immune abnormalities ( England, 1999 ) .…”

Section: Discussionsupporting

confidence: 71%

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Neuralgic amyotrophy: variable expression in 40 patients

Cruz-Martínez

Barrio

Arpa

2002

J Peripheral Nervous Sys

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This study looks at disease diversity, location of lesions, and progression of neuralgic amyotrophy (NA). Forty patients (28 male and 12 female, age range 15 to 70 years) were clinically examined. Muscle atrophy, weakness, and sensory impairment were assessed. Needle EMG and conduction velocities were performed. Careful clinical, electrophysiological, laboratory, and radiological studies excluded other illness. Twenty-two patients were followed for 2 years. Antecedent fever and upper-respiratory tract infection was seen in 22 cases. Pain of sudden onset was always the initial symptom, followed by weakness, mainly in the proximal muscles of shoulder. The affectation was bilateral in 7 cases. Seven cases had a recurrent form of the disease. Clinical and electrophysiological findings suggest axonal lesions of the peripheral nerves, occurring singly (mononeuritis) or in various combinations (mononeuropathy multiplex). Unusual features, such as VII and XI cranial nerves, phrenic nerve, and lateral antebrachial cutaneous nerve affectation, were found. Follow-up showed good function recovery at variable times, even in 1 case with associated myotonic dystrophy (MD). NA is a well-defined entity, with variable clinical expression and data consistent with mononeuropathy or mononeuropathy multiplex, axonal in type. The overall prognosis is good. The progression in a patient with MD suggests that the capability of muscle fiber membrane to accept regenerating nerve sprouts remains in dystrophic muscles.

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Section: Discussionsupporting

confidence: 71%

Section: Discussionsupporting

confidence: 71%

Neuralgic amyotrophy: variable expression in 40 patients

Cruz-Martínez

Barrio

Arpa

2002

J Peripheral Nervous Sys

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Postsurgical idiopathic brachial neuritis

et al. 1994

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Idiopathic brachial neuritis (IBN) is a well-recognized clinical syndrome characterized by brachial pain followed by a patchy amyotrophy of muscles in the shoulder girdle and arm innervated by individual branches of the brachial plexus. Postsurgical IBN has not been widely recognized since Parsonage and Turner's original description in which 10% of patients had antecedent surgery. We present 6 patients who 1-13 days postoperatively developed signs and symptoms which met the clinical and electrophysiologic criteria for IBN. Postsurgical neuralgic amyotrophy is an under-recognized clinical entity which in most cases is ascribed to brachial plexus stretch injuries occurring during anesthesia. Early recognition of this condition may prevent unnecessary surgical exploration and allow for a more accurate prediction of functional recovery.

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Periphere Nervenläsionen

Löscher¹

2007

Neurologische Erkrankungen in Der Schwangerschaft

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Relapsing Bilateral Brachial Plexopathy During Pregnancy

Cited by 14 publications

References 10 publications

Neuralgic amyotrophy: variable expression in 40 patients

Neuralgic amyotrophy: variable expression in 40 patients

Postsurgical idiopathic brachial neuritis

Periphere Nervenläsionen

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