Edit concept Question Editor Create issue ticket

Brachial Plexus Neuropathy

TOS


Presentation

  • Acquired brachial-plexus neuropathy as the initial presentation of osteomyelitis of the humerus in the neonatal period is described.[ncbi.nlm.nih.gov]
  • Patients with features outside this clinical picture probably suffer from other disease entities presenting with brachial plexus neuropathy.[ncbi.nlm.nih.gov]
  • The authors present 3 extraordinary cases of brachial plexus neuropathy associated with anticoagulant-induced hemorrhage. The signs, symptoms, important differentials, and clinical treatment are described with regard to the pathologic anatomy.[ncbi.nlm.nih.gov]
  • 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]
  • Hypertrophic brachial plexus neuropathy can be a presentation of focal chronic inflammatory demyelinating polyradiculoneuropathy.[ncbi.nlm.nih.gov]
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]
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]
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]
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 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]
Ulcer
  • 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.[ncbi.nlm.nih.gov]
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]
Neck Pain
  • 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]
  • pain, and nerve pain, as well as the pain often associated with cancer treatment.[calmarerelief.com]
  • Neck pain is one of the most common reasons for people to seek the care of a massage therapist.[academyofclinicalmassage.com]
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]
Neuralgia
  • My clients nerve inflammation is resolved and their neuralgia heals.[ihelpbackpain.com]
  • 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]
  • 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]
  • They termed the disorder ‘amyotrophic neuralgia’. There is an extremely rare, inherited form known as hereditary neuralgic amyotrophy, on which NORD has a separate report.[rarediseases.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]
  • 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]
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]
Monoplegia
  • Three infants presented at 3, 15, and 21 days respectively, with acute monoplegia consistent with brachial-plexus neuropathy. The infants were afebrile and generally well.[ncbi.nlm.nih.gov]

Workup

  • 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]
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]
  • Objective and quantitative assessment of hand function is useful to evaluate treatment results and to optimize treatment regimens.[ncbi.nlm.nih.gov]
  • Postoperatively, pre- and postmenopausal patients were randomly allocated chemotherapy or antiestrogen treatment. All patients were recurrence-free at time of examination.[ncbi.nlm.nih.gov]
  • It ought to be emphasized that complications of radiation therapy sometimes occur many years after treatment and this may create difficulties in initial diagnostics.[ncbi.nlm.nih.gov]
  • The signs, symptoms, important differentials, and clinical treatment are described with regard to the pathologic anatomy.[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]
  • The differential diagnosis between brachial plexus neuropathy and ulnar nerve neuropathy is important, as the prognosis of brachial plexus neuropathy is generally good.[ncbi.nlm.nih.gov]
  • A case report is presented of brachial plexus neuropathy in an international gymnast in association with chicken-pox and the clinical features, investigations and prognosis are discussed.[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

  • Despite the lack of knowledge concerning its etiology, and lack of an effective therapy, the long-term prognosis is excellent.[ncbi.nlm.nih.gov]
  • 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]
  • 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]
  • They used the descriptive term "neuralgic amyotrophy" to avoid any assumptions about etiology or site of lesion.[medlink.com]

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]
  • 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]
Sex distribution
Age distribution

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]
  • 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]

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 should be the main focus of managing RIBPN, and the BP should be considered an organ-at-risk when designing a radiotherapy plan for the ISCL area.[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]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!