Presentation
Acquired brachial-plexus neuropathy as the initial presentation of osteomyelitis of the humerus in the neonatal period is described. [ncbi.nlm.nih.gov]
Septic arthritis presenting as brachial plexus neuropathy. BMJ Case Rep 2011 10.1136/ bcr.12.2010.3562. Yuille TD. Limb infections in infancy presenting with pseudoparalysis. Arch Dis Child 1975; 50: 953. Bennet GC, Harrold AJ. [revistas.rcaap.pt]
Entire Body System
- Weakness
Idiopathic brachial plexus neuropathy (BPN) is an immune-mediated disorder characterized by an acute onset of painful weakness in one or both upper extremities. [ncbi.nlm.nih.gov]
Weakness Inadequate nerve supply to the muscles of the arm and hand can result in muscle weakness. [livestrong.com]
- Arm Pain
Acute brachial plexus neuropathy is characterized by acute onset of shoulder girdle and arm pain, followed by weakness of the shoulder and arm muscles. [ncbi.nlm.nih.gov]
Brachial Neuritis is the condition of sudden shoulder and arm pain, followed by weakness or numbness. [remedypainsolutions.com]
Symptoms: Severe pain in the upper arm or shoulder. Pain usually affecting just one side of the body. After a few hours or days, the pain transitions to weakness, limpness, or paralysis in the muscles of the affected arm or shoulder. [medigoo.com]
Pain is unaltered by neck or arm movements. Pain is spontaneous, often with no apparent cause. Gradual decrease in pain followed by marked weakness of upper arm. [aafp.org]
A 36-year-old man with known NF-1 presenting with right shoulder and neck pain with weakness of the arm. [ajnr.org]
- Swelling
Skin discoloration, pain, tenderness, and soft-tissue swelling may be the main clinical features. The authors present 3 extraordinary cases of brachial plexus neuropathy associated with anticoagulant-induced hemorrhage. [ncbi.nlm.nih.gov]
Swelling around the shoulder. Neck and shoulder pain. Paraesthesiae and weakness in the arm. Horner's syndrome, which indicates complete lesion in the lower plexus, ie C5-C7. [patient.info]
Compression gloves and sleeves may be used to prevent swelling in the affected arm, which can lead to pain and joint contractures. Pain may be managed with medications, therapy, and assistive devices. [orthoinfo.aaos.org]
Swelling due to fluid retention (edema) may also occur. The skin, hair and nails may grow more quickly than normal. Certain areas of the body particularly the hands and forearms may no longer be able to respond properly to outside temperature. [rarediseases.org]
- Weight Loss
He reported a 60-lb weight loss in the preceding year. [care.diabetesjournals.org]
[…] in contact sports: Football > Wrestling, Hockey, Basketball, Boxing, Weight lifting Lesion: C6 root vs Upper trunk Clinical Weakness 1 upper limb Sensory Pain Onset: Sudden Duration: Transient (minutes) Burning dysesthesia Distribution: C6 > C5; May [neuromuscular.wustl.edu]
- Limb Pain
Loss of sensation leading to numbness in whole or part of your upper limb. Pain ranging from mild, to severe in case of nerve root avulsion. Diagnosis. [ypo.education]
Respiratoric
- Hoarseness
Involvement of the recurrent laryngeal nerve can result in weakness and partial paralysis of the vocal cords and, consequently, hoarseness and soft speech (hypophonia). In extremely rare cases, facial or other cranial nerves may be affected. [rarediseases.org]
[…] in opposite limb Nerves outside brachial plexus More commonly involved (56%) in HNA than in Idiopathic neuralgic amyotrophy (17%) Long thoracic nerve often involved: Scapular winging Lumbosacral plexus also involved Cranial nerves Facial paresis X: Hoarseness [neuromuscular.wustl.edu]
Gastrointestinal
- Dysphagia
Fifty six year-old woman who developed acute dysphonia, dysphagia and left shoulder pain, followed, six days later, by left arm weakness. Needle examination showed only fibrillation potentials and positive sharp waves in the left deltoid muscle. [ncbi.nlm.nih.gov]
Musculoskeletal
- Shoulder Pain
Acute brachial plexus neuropathy is characterized by acute onset of shoulder girdle and arm pain, followed by weakness of the shoulder and arm muscles. [ncbi.nlm.nih.gov]
The most common symptoms of brachial plexus neuropathy are shoulder pain, tingling and numbness and weakness. Because the nerves extend into the arm, the patient may experience the symptoms in the shoulder, arm, hand or wrist. [calmarerelief.com]
Brachial neuritis is a condition in which at least part of the brachial plexus—a group of nerves that run from the neck and upper back through the shoulder—becomes inflamed and typically causes severe shoulder pain. [spine-health.com]
Symptoms: Severe pain in the upper arm or shoulder. Pain usually affecting just one side of the body. After a few hours or days, the pain transitions to weakness, limpness, or paralysis in the muscles of the affected arm or shoulder. [medigoo.com]
[…] over a few weeks and right shoulder, extending into the right hand 3 months later. [care.diabetesjournals.org]
- Neck Pain
I was having intense neck pain for 7 weeks that felt like it was worsening daily. The pain radiated down my arm into my hand. [ihelpbackpain.com]
Whether it is whiplash from a motor vehicle accident or the chronic neck pain from sitting hunched over a desk all day, massage is frequently sought as a remedy for that all-too-common “pain in the neck.” [academyofclinicalmassage.com]
[…] chest pain, neck pain, and nerve pain, as well as the pain often associated with cancer treatment. [calmarerelief.com]
There was no neck pain or involvement of bladder or bowel. Examination revealed bilateral wrist-drop with grade 3–4 weakness of the small muscles of the hand, elbow flexors and extensors and shoulder abduction. Upper limb reflexes were absent. [nature.com]
Clinically, this syndrome can result in ulnar distribution hand weakness, hand/arm/neck pain/parasthesias, and upper extremity muscle atrophy. 22 Symptomatology is often exacerbated/reproducible by arm raise. [appliedradiology.com]
- Arm Weakness
Acute brachial plexus neuropathy is characterized by acute onset of shoulder girdle and arm pain, followed by weakness of the shoulder and arm muscles. [ncbi.nlm.nih.gov]
He denied sensory symptoms in the arms. Progressive left arm weakness evolved >3 months after the onset of pain and stabilized thereafter. Right arm weakness developed over the preceding 3 months and has continued to progress. [care.diabetesjournals.org]
The period of intense pain is commonly followed by numbness and/or weakness in the arm that lasts much longer than the initial pain. [spine-health.com]
Acute brachial plexus neuritis is an uncommon disorder characterized by severe shoulder and upper arm pain followed by marked upper arm weakness. [aafp.org]
All ulnar & C8-T1 innervated median muscles Finger flexion, extension & abduction; Ulnar wrist flexion Spared: Finger extensors Sensory loss: Medial arm forearm & hand Posterior cord Nerves: Radial ; Axillary ; Thoracodorsal Weakness Arm abduction & [neuromuscular.wustl.edu]
- Left Shoulder Pain
Fifty six year-old woman who developed acute dysphonia, dysphagia and left shoulder pain, followed, six days later, by left arm weakness. Needle examination showed only fibrillation potentials and positive sharp waves in the left deltoid muscle. [ncbi.nlm.nih.gov]
A 56-year-old African-American man with a 13-year history of well-controlled diabetes (total glycohemoglobin 6.2%, normal 3.9–6.3%), on insulin for 5 years and having no other major medical illness, developed left shoulder pain that extended to the hand [care.diabetesjournals.org]
This latter attack was characterised by painful left shoulder weakness in the trapezius and serratus anterior muscles. Two months before biopsy he developed subacute worsening pain in the left hand with sensory and motor loss in the arm and hand. [jnnp.bmj.com]
- Muscular Atrophy
Demyelinating Neuropathies (with Conduction block) Guillain Barré CIDP Acute Axonal Motor Neuropathy Associated with Campylobacter jejuni, or IgG vs GM1 ganglioside: Usually Distal > Proximal Porphyria Proximal Lower Motor Neuron Syndrome Hereditary Spinal Muscular [neuromuscular.wustl.edu]
Psychiatrical
- Suggestibility
Present evidence suggests that these brachial neuropathies have an immune basis. [ncbi.nlm.nih.gov]
Present evidence suggests that these brachial neuropathies have an immune basis. NEUROLOGY 1996;46: 559-561 Copyright 1996 by the Advanstar Communication Inc. [neurology.org]
Neurologic
- Peripheral Neuropathy
Features of Textbook of Peripheral Neuropathy Include : ̈ Practical yet comprehensiveóan accessible ìgo-toî reference for clinicians ̈ Covers all clinically relevant peripheral neuropathies ̈ Clinical Pearls and Key Points are set off from the text for [books.google.com]
Abstract We present a patient with a large B cell gastric lymphoma in total remission who, after 4 months, developed a fatal progressive peripheral neuropathy with an unusual early involvement of the right brachial plexus. [ncbi.nlm.nih.gov]
The term is usually used to mean the same thing as peripheral neuropathy. [disabilitycasereview.com]
[…] brachial plexopathy A peripheral neuropathy caused by damage to the brachial plexus. Clinical findings Pain, numbness, burning and weakness in the shoulder, arm, hand or wrist. [medical-dictionary.thefreedictionary.com]
The main neurological complications of 1M are lymphocytic meningitis, peripheral neuropathy and encephalomyelitis and they can occur without any classical findings as pharyngitis, adenopathy or splenomegaly. [scielo.br]
- Paresis
One individual suffered an episode of facial paresis. The inheritance pattern was autosomal dominant. [ncbi.nlm.nih.gov]
神経梅毒(進行麻痺)neurosyphilis (general paresis) ◆COLUMN 野口英世の業績 ◆COLUMN 梅毒は知的能力を高める? 28. 脳トキソプラズマ症cerebral toxoplasmosis 29. 進行性多巣性白質脳症progressive multifocal leukoencephalopathy (PML) 30. エイズ脳症AIDS encephalopathy 31. [info.fujita-hu.ac.jp]
It is concluded from this study that RIBP, irrespective of surgery (neurolysis and/or omentum transplant), left two-thirds of the patients with severe or total paresis of the arm. [stepup-speakout.org]
Brachial neuritis: an under-recognized cause of upper extremity paresis after cervical decompression surgery. Spine. 2007 Oct 15. 32(22):E640-4. [Medline]. Kumar N, Folger WN, Bolton CF. [emedicine.medscape.com]
In most cases, three weeks following the onset of paresis, a needle electrode examination will reveal fibrillation potentials and positive waves suggestive of muscle denervation. 1 Nerve conduction studies of the medial and ulnar nerves are generally [aafp.org]
- Neuralgia
Neuralgia, Parsonage Aldren Turner Syndrome, Amyotrophic Neuralgia, Hereditary Brachial Plexus Neuropathy, Brachial Neuralgias, Brachial Neuritides, Amyotrophic Neuralgias, Neuralgic Amyotrophies, Brachial Plexus Neuritides, Cervicobrachial Neuralgias [xpertdox.com]
[Nom commun] Brachial Neuralgias [Nom commun] Neuralgia, Brachial [Nom commun] Neuralgias, Brachial [Nom commun] Cervico-Brachial Neuralgia [Nom commun] Cervico Brachial Neuralgia [Nom commun] Cervico-Brachial Neuralgias [Nom commun] Neuralgia, Cervico-Brachial [idref.fr]
Neuritis; Brachialneuralgie; Cervico Brachial Neuralgia; Cervico-Brachial Neuralgia; Cervico-Brachial Neuralgias; Cervicobrachial Neuralgia; Cervicobrachial Neuralgias; Neuralgia, Amyotrophic; Neuralgia, Brachial; Neuralgia, Cervico-Brachial; Neuralgia [134.130.12.205]
Neuropatia do plexo braquial (neuralgia amiotrofica) e mononucleose infecciosa : registro de um caso. Arq. Neuro-Psiquiatr. [online]. 1984, vol.42, n.3, pp.289-293. ISSN 0004-282X. http://dx.doi.org/10.1590/S0004-282X1984000300014. [scielo.br]
My clients nerve inflammation is resolved and their neuralgia heals. [ihelpbackpain.com]
- Limb Weakness
Clinical examination revealed bilateral proximal upper limb weakness with wasting and areflexia. The remainder of the neurological examination was normal. [nature.com]
Three patterns of upper limb weakness were identified, distal limb weakness only (13 patients), global limb weakness that was more marked distally (11 patients), and completely flaccid arm (10 patients). [stepup-speakout.org]
- Numbness of the Hand
Other possible signs and symptoms include: Regional muscle weakness Abnormal sensations like burning or tingling Numbness in your hand, arm or shoulder Horner syndrome (affects the nerves of your face and eye) An inability to raise or extend your hand [disabilitycasereview.com]
My numbness and tingling in both my neck elbow and hands stopped that night after the 3rd treatment. The numbness and tingling have not return. [ihelpbackpain.com]
Workup
Workup Laboratory studies are indicated in brachial neuritis only if systemic disease is suspected on clinical grounds. [emedicine.medscape.com]
Clinical Testing and Workup Certain tests such as nerve conduction studies or electromyography can be used to assess the health of muscles and the nerves that control muscles. [rarediseases.org]
Treatment
Treatment of carcinomatous neuropathy is most likely to succeed if the tumor is hormonally sensitive, but radiotherapy may also be effective. Treatment of radiation-induced neuropathy remains largely ineffective. [ncbi.nlm.nih.gov]
Prognosis
Despite the lack of knowledge concerning its etiology, and lack of an effective therapy, the long-term prognosis is excellent. [ncbi.nlm.nih.gov]
[…] recovery of reconstructed plexus can take up to 3 years nerve regeneration occurs at speed of 1mm/day infraclavicular plexus injuries have better prognosis than supraclavicular injuries upper plexus injuries have improved prognosis preservation of hand [orthobullets.com]
The prognosis is good and most patients began to note improvement within months. [scielo.br]
Etiology
The possible viral etiology of giant cell arteritis is considered. We think an immunological rather than ischemic disturbance may have caused the recurrent brachial plexus neuropathy. [ncbi.nlm.nih.gov]
They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]
Pathology Etiology post radiation plexitis: usually presents 5-30 months after treatment, generally with doses of ≥6000 cGy viral brachial plexitis, e.g. cytomegalovirus, Coxsackie, herpes zoster, Epstein-Barr virus, parvovirus B19 immune-mediated toxic [radiopaedia.org]
Brachial plexopathy in this patient was likely related to his diabetes because there was no other obvious etiology; pain and weakness were prominent with relative paucity of sensory symptoms, and there was preceding weight loss, both characteristic features [care.diabetesjournals.org]
Epidemiology
An evaluation of the clinical course of three children, together with epidemiologic data, suggests that early lumbar punctures and an extensive search for an infecting viral agent, notably coxsackievirus B, are warranted. [ncbi.nlm.nih.gov]
The discussion covers the phenotype spectrum, epidemiology, mode of inheritance, pathogenesis, and clinical profile of each condition, all of which is accompanied by a wealth of illustrations. [books.google.com]
Epidemiology Brachial plexitis is more commonly seen in men between 30 and 70 years of age and is bilateral in 10-30% of patients 3. [radiopaedia.org]
Midha R (1997) Epidemiology of brachial plexus injuries in a multitrauma population. Neurosurgery 40;1182–1189 PubMed CrossRef Google Scholar 6. [link.springer.com]
[…] indicus Flexor pollicus longus Differential diagnosis: Other involvement of supraclavicular lower plexus Thoracic outlet syndrome, Neurogenic Pancoast syndrome Neuralgic Amyotrophy 10 Nosology: Also called Parsonage-Turner syndrome Brachial Neuritis Epidemiology [neuromuscular.wustl.edu]
Pathophysiology
• Although the exact pathophysiology is unclear, available evidence points to an autoimmune pathogenesis, superimposed on a mechanically-induced vulnerability of the nerves with an underlying genetic susceptibility. • Diagnosis of the classic form is [medlink.com]
It was first described in 1966 by Stoll and Andrews. 1 The pathophysiology of RIPN is not fully understood, though it is thought that direct nerve injury results from radiation-induced capillary network disruption. [appliedradiology.com]
Pathophysiology Brachial neuritis (BN) exists in an inherited and an idiopathic form. [emedicine.medscape.com]
Clinical and pathophysiological concepts of neuralgic amyotrophy. Nat Rev Neurol. 2011;10:315-322. http://www.ncbi.nlm.nih.gov/pubmed/21556032 Feinberg JH, Radecki J. Parsonage-Turner syndrome. [rarediseases.org]
Horner's : T1 involvement Medial Brachial Fascial Compartment Syndrome Medial brachial fascial compartment: Anatomy Extends from the clavicle to the elbow Houses terminal nerves of brachial & plexus & axillary vessels Formed by medial intermuscular septum Pathophysiology [neuromuscular.wustl.edu]
Prevention
Elective caesarean delivery did not prevent a typical postpartum attack. CONCLUSIONS: Inflammation, probably immune, appears pathogenic for some if not all attacks of HBPN. [ncbi.nlm.nih.gov]
Prevention methods vary depending on the cause of your BPN. Once you’ve been diagnosed with BPN and your doctor determines the cause, he or she can provide you with prevention methods. [healthline.com]
To prevent compression of the dependent brachial plexus, an “axillary roll” is placed. The term “axillary roll” is a misnomer. The roll is actually a “chest roll” and should never be placed in the axilla. [openanesthesia.org]
The ASA task force recommendations to prevent neuropathies are reviewed. [ispub.com]