11/24. arteritis and brachial plexus neuropathy as delayed complications of radiation therapy.radiation-induced arteritis of large vessels and brachial plexus neuropathy are uncommon delayed complications of local radiation therapy. We describe a 66-year-old woman with right arm discomfort, weakness, and acrocyanosis that developed 21 years after local radiation for breast adenocarcinoma. Arteriography revealed arteritis, with ulcerated plaque formation at the subclavian-axillary artery junction, consistent with radiation-induced disease, and diffuse irregularity of the axillary artery. electromyography showed a chronic brachial plexopathy. The patient's acrocyanosis, thought to be due to digital embolization from her vascular disease, improved with antiplatelet therapy. The concurrent combination of radiation-induced arteritis and brachial plexopathy is uncommon but should be considered in patients presenting with upper extremity pain or weakness after radiation therapy.- - - - - - - - - - ranking = 1keywords = neuropathy (Clic here for more details about this article) |
12/24. Isolated brachialis wasting: an unusual presentation of neuralgic amyotrophy.Although neuralgic amyotrophy can selectively affect discrete components of the brachial plexus including individual peripheral nerves, involvement of an individual nerve fascicle is rare. Discrete fascicular musculocutaneous neuropathy as a manifestation of neuralgic amyotrophy has not previously been reported to our knowledge. We report two cases of otherwise typical neuralgic amyotrophy with isolated brachialis muscle wasting. Abnormal spontaneous activity, motor unit remodeling, or both, was observed only in the brachialis muscle. Lateral antebrachial cutaneous nerve conduction studies were normal. These cases serve to broaden the spectrum of the clinical presentation of neuralgic amyotrophy.- - - - - - - - - - ranking = 0.2keywords = neuropathy (Clic here for more details about this article) |
13/24. Contralateral brachial plexus neuropathy after arthroscopic shoulder surgery.This case report presents a neurologic complication that occurred after shoulder arthroscopic surgery on the contralateral arm. This brachial plexus palsy has been documented as a reversible C7-T1 lesion, which was the consequence of the patient's unknown cervical rib and the applied lateral position during the operation. In this case, the recovery was almost complete within 3 months postoperatively; however, one should take care to prevent these complications with an appropriate positioning of patients with an anatomic variant.- - - - - - - - - - ranking = 0.8keywords = neuropathy (Clic here for more details about this article) |
14/24. Brachial plexopathy associated with systemic sclerosis.Neurological involvement is uncommon in systemic sclerosis. Most of the reported cases concern trigeminal neuropathy or peripheral nerve entrapment. We report a third case of brachial plexopathy, presumably related to vasculitis, in a patient with systemic sclerosis, which improved after cyclophosphamide therapy.- - - - - - - - - - ranking = 0.2keywords = neuropathy (Clic here for more details about this article) |
15/24. Bilateral neurogenic thoracic outlet syndrome.We report a case of bilateral neurogenic thoracic outlet syndrome (TOS). Electrophysiological examination suggested the presence of bilateral lower brachial plexus neuropathy. radiography showed rudimentary bilateral cervical ribs. In the cases reported in the literature to date, the clinical findings are typically unilateral despite the common presence of bilateral bony abnormalities. Neurogenic TOS should be considered in young women, even if they present with bilateral symptoms, when they have occupations requiring strenuous activity of the upper limbs.- - - - - - - - - - ranking = 0.2keywords = neuropathy (Clic here for more details about this article) |
16/24. role of magnetic resonance neurography in brachial plexus lesions.Magnetic resonance neurography (MRN) is a relatively new imaging technique that is highly sensitive in detecting lesions in the peripheral nerves. We studied six cases of brachial plexopathies in which MRN played a pivotal role in making the correct diagnoses. All patients had clinical, nerve conduction, and electromyographic findings consistent with brachial plexus lesions. Four patients had brachial plexitis and two had multifocal demyelinating neuropathy presenting as brachial plexopathies. MRN in all patients showed edema, thickening, and T2 hyperintensities localized to the brachial plexus region. We conclude that MRN is a useful technique in evaluating patients with brachial plexus lesions, particularly in cases of brachial plexitis, where conventional magnetic resonance imaging is generally normal.- - - - - - - - - - ranking = 0.2keywords = neuropathy (Clic here for more details about this article) |
17/24. Suprascapular nerve entrapment.It is important to be aware of neuropathy involving the suprascapular nerve. While direct trauma to the suprascapular nerve is the usual cause (direct blow to the base of the neck or posterior shoulder, shoulder dislocation or fracture), the problem may result from overuse injuries (such as repetitive tennis serving or spiking of a volley ball), excessive horizontal adduction, weight lifting, backpacking or no apparent reason. These last three years we have operated 8 cases of suprascapular nerve neurolysis at the level of suprascapular incision, and section of the transverse scapular ligament through the back supraspinal approach.- - - - - - - - - - ranking = 0.2keywords = neuropathy (Clic here for more details about this article) |
18/24. Bilateral isolated phrenic neuropathy causing painless bilateral diaphragmatic paralysis.The authors report four patients with a syndrome of painless bilateral isolated phrenic neuropathy. Electrophysiologic testing demonstrated active denervation restricted to the diaphragm. Long-term recovery was poor. The authors conclude that bilateral isolated phrenic neuropathy is a cause of painless diaphragmatic paralysis distinguishable from immune brachial plexus neuropathy and other neuromuscular disorders with similar clinical presentation.- - - - - - - - - - ranking = 1.4keywords = neuropathy (Clic here for more details about this article) |
19/24. Bilateral brachial plexopathy complicating Henoch-Schonlein purpura.An 11-year-old boy presented with convulsion, fever, rash, abdominal pain, swelling on the eyelids, elbow and wrists, oliguria and hematuria. Based on the abnormal findings the patient was diagnosed with Henoch-Schonlein purpura. On the 3rd day of admission, neurological examination showed ataxic gait, loss of deep tendon reflexes, and decreased (4/5) of muscle strength on all extremities. Additionally, bilateral loss of touch, pain and temperature sensation in a glove, from the elbows to distal region (on C5-T1 level) was diagnosed. cerebrospinal fluid examination and cranial magnetic resonance imaging (MRI) were normal. The patient was discharged with oral prednisolone on the 7th day of admission. One week after discharging from the hospital, he was re-admitted with vertigo and seizures. He was in coma. MRI of cranial, cervical and cervical plexus were normal. electromyography showed severe bilateral brachial plexopathy. prednisolone and intravenous immunglobulin (IVIG) therapy were given without significant improvement. He was discharged from the hospital on the 17th day of admission. On the second month of follow-up, a second cure of IVIG was given because of no clinical improvement. Now, he is on the 4th month of follow-up, unfortunately, no improvement was noted on his muscle strength and sensorial abnormalities on the upper extremities.- - - - - - - - - - ranking = 1.6251509318657E-6keywords = deep (Clic here for more details about this article) |
20/24. Friday night palsy: an unusual case of brachial plexus neuropathy.Brachial plexopathy can result from traction injury, radiation injury, local or metastatic cancer, hereditary, or idiopathic causes. However, brachial plexopathy resulting from malposition of an arm during sleep, similar to Saturday night palsy, has not been reported. We report a case of brachial plexus neuropathy that occurred after the patient slept on his shoulder and arm following excessive alcohol consumption on a Friday night.- - - - - - - - - - ranking = 1keywords = neuropathy (Clic here for more details about this article) |
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