Presentation
Acquired brachial-plexus neuropathy as the initial presentation of osteomyelitis of the humerus in the neonatal period is described. [ncbi.nlm.nih.gov]
Entire Body System
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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]
In the majority of cases, the shoulder and arm pain persists for only a short duration (days to weeks), and as the pain subsides, muscle weakness and atrophy become evident.Brachial plexus neuropathy has been described secondary to radiation therapy, [medigoo.com]
Brachial Neuritis is the condition of sudden shoulder and arm pain, followed by weakness or numbness. [remedypainsolutions.com]
Patients with leukemic infiltration to BP present with non-specific arm pain, weakness and numbness. [omicsonline.org]
Acute brachial plexus neuritis is an uncommon disorder characterized by severe shoulder and upper arm pain followed by marked upper arm weakness. [aafp.org]
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Constitutional Symptom
The illness is characterized by the acute onset of shoulder girdle pain without constitutional symptoms. The pain persists for 1 to 2 weeks, then subsides, with the development of weakness and atrophy in the affected muscles. [ncbi.nlm.nih.gov]
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Episodic Pain
Abstract Hereditary neuralgic amyotrophy with predilection for the brachial plexus (HNA) is an autosomal dominant disorder associated with recurrent, episodic, painful brachial neuropathies. [ncbi.nlm.nih.gov]
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Soft Tissue 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]
Skin
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Skin Discoloration
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]
Eyes
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Small Palpebral Fissures
Patients had typical features including hypotelorism, small palpebral fissures and a small oral opening. The distribution of the affected members in the pedigree was compatible with autosomal dominant inheritance with high penetrance. [ncbi.nlm.nih.gov]
Musculoskeletal
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Neck Pain
pain, and nerve pain, as well as the pain often associated with cancer treatment. [calmarerelief.com]
Brachial Plexus Injury – Neck Pain – Thoracic Outlet Syndrome Orlando Massage Therapeutic – Orlando Medical Massage – Neck Pain Treatment Brachial Plexus – Thoracic Outlet Syndrome Referring To Your Shoulders, Arms, Hands And Fingers Look for a Therapeutic [ihelpbackpain.com]
Neck pain is one of the most common reasons for people to seek the care of a massage therapist. [academyofclinicalmassage.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]
A 36-year-old man with known NF-1 presenting with right shoulder and neck pain with weakness of the arm. [ajnr.org]
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Long Arm
Linkage to markers from the distal long arm of chromosome 17 was established. [ncbi.nlm.nih.gov]
Neurologic
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Peripheral Neuropathy
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]
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]
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]
Jandolo CASE REPORT 66 Downloads 14 Citations 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 [link.springer.com]
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Neuralgia
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]
[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]
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]
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. . [scielo.br]
My clients nerve inflammation is resolved and their neuralgia heals. [ihelpbackpain.com]
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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]
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Hand Paralysis
RIBP ultimately progresses from onset of hand paralysis to full limb paralysis in a range of 0.2 to 5 years. 11 The best approach to minimize the risk of RIBP is to limit RTX dose, dose per fraction, and volume. 12 Treatment is symptomatic and no cure [appliedradiology.com]
paralysis Diaphragm (Phrenic): 1% to 5% Horner's: 5% to 30% Right slightly more common than left Bilateral: 10% to 20% Associated features Fractures: Clavicle (10%); Humerus (10%) Cervical spine subluxation or cord injury: 5% to 10% Other nerve palsies [neuromuscular.wustl.edu]
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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]
I highly recommend her to anyone who may have similar pain and symptoms” Andre Biewend “I have been suffering for the better part of a year from numbness in both hands typically occurring while sleeping on my side. [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]
Microbiology
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Complement Fixing Antibody
OBJECTIVE: To determine if complement-fixing antibodies to peripheral nerve myelin (anti-PNM antibodies) and terminal complement activation products were increased in serum of patients with brachial plexus neuropathy compared with normal controls. [ncbi.nlm.nih.gov]
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]
Each one of these forms of the disorder has its own characteristic pattern of development, set of signs and symptoms and prognosis. Brachial plexus neuropathy is one of the forms of peripheral neuropathy. It involves your brachial plexus. [disabilitycasereview.com]
Prognosis and early management of birth injuries to the brachial plexus. BMJ 1976; 1: 1520-1. Clay SA. Osteomyelitis as a cause of brachial plexus neuropathy. Am J Dis Child 1986; 136: 1054-6. Bos CFA, Mol LJCD, Obermann WR, Tjin a Ton ER. [revistas.rcaap.pt]
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]
Etiology and Epidemiology Acute brachial plexus neuritis has been recognized as a distinct plexus disorder since the 1940s. [aafp.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]
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]
[…] 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]
Midha R (1997) Epidemiology of brachial plexus injuries in a multitrauma population. Neurosurgery 40;1182–1189 PubMed CrossRef Google Scholar 6. [link.springer.com]
Parsonage-Turner syndrome: clinical and epidemiological features from a hand surgeon’s perspective. Hand (N Y). 2016; 11(2):227-31. Complete Listing of References [spine-health.com]
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]
Pathophysiology Brachial neuritis (BN) exists in an inherited and an idiopathic form. [emedicine.medscape.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]
Clinical and pathophysiological concepts of neuralgic amyotrophy. Nat Rev Neurol. 2011;10:315-322. Feinberg JH, Radecki J. Parsonage-Turner syndrome. HSS J. 2010;6:199-205. Van Alfen N, van der Werf SP, van Engelen BG. [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]
Elective caesarean delivery did not prevent a typical postpartum attack. Conclusions: Inflammation, probably immune, appears pathogenic for some if not all attacks of HBPN. [jnnp.bmj.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]