1,715 results match your criteria Brachial Neuritis


Visceral disseminated varicella zoster virus infection with brachial plexus neuritis detected by fluorodeoxyglucose positron emission tomography and computed tomography.

J Infect Chemother 2019 Mar 14. Epub 2019 Mar 14.

Department of Hematology and Oncology, Faculty of Medical Sciences, University of Fukui, 23-3 Matsuokashimoaizuki, Eiheiji-cho, Yoshida-gun, Fukui 910-1193, Japan.

Varicella zoster virus (VZV) infection sometimes result in visceral disseminated VZV infection (VD-VZV), which is a fulminant disease featured by abdominal pain and the absence of skin lesions, particularly occurs in the immunosuppressive patients. Brachial plexus neuritis (BPN) is another rare type of VZV infection usually appears without blisters. Few diagnostic images of both VD-VZV and BPN-VZV have been reported. Read More

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http://dx.doi.org/10.1016/j.jiac.2019.02.015DOI Listing
March 2019
2 Reads

Brachial Neuritis After Botulinum Toxin Injections for Cervical Dystonia: A Need for a Reappraisal?

Mov Disord Clin Pract 2019 Feb 13;6(2):160-165. Epub 2018 Dec 13.

Department of Clinical and Movement Neurosciences UCL Queen Square Institute of Neurology London United Kingdom.

Background: Brachial neuritis has previously been described as a rare occurrence in patients receiving botulinum toxin for cervical or writing/focal arm dystonia.

Methods: We report four cases of patients with a long history of cervical dystonia treated with botulinum toxin injections.

Results: All patients developed pain and muscular weakness around the shoulder, with EMG studies suggesting brachial neuritis. Read More

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http://dx.doi.org/10.1002/mdc3.12710DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6384191PMC
February 2019
1 Read

Current status of magnetic resonance neurography in evaluating patients with brachial plexopathy.

Neurol India 2019 Jan-Feb;67(Supplement):S118-S124

Department of Plastic Surgery, King George Medical University, Lucknow, Uttar Pradesh, India.

Magnetic resonance neurography (MRN) is recognized as the imaging modality of choice in the evaluation of patients with brachial plexopathy. It adds vital information to the results of the clinical evaluation and electrodiagnostic tests and facilitates patient management. Its indications include both trauma and non-traumatic forms of plexopathy such as inflammatory, neoplastic and compressive. Read More

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http://dx.doi.org/10.4103/0028-3886.250730DOI Listing
January 2019
5 Reads

Spontaneous peripheral nerve palsy with hourglass-like fascicular constriction in the upper extremity.

J Neurosurg 2019 Jan 4:1-11. Epub 2019 Jan 4.

Departments of1Hand Surgery.

OBJECTIVESpontaneous paralysis from hourglass-like fascicular constriction of peripheral nerves is rare, its clinical manifestations are not well documented, and its pathogenesis remains unknown. The unclear origin of this disorder and difficulty in diagnosis result in its uncertain management. The authors sought to gain a more thorough understanding of this condition through describing the anatomy, clinical features, etiology, and treatment of hourglass-like constriction. Read More

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http://dx.doi.org/10.3171/2018.8.JNS18419DOI Listing
January 2019
5 Reads

Recurrent Brachial Neuritis Attacks in Presentation of B-Cell Lymphoma.

Mayo Clin Proc Innov Qual Outcomes 2018 Dec 2;2(4):382-386. Epub 2018 Nov 2.

Department of Neurology, Mayo Clinic College of Medicine & Science, Rochester, MN.

We describe a 51-year-old woman who over 5 years had 9 painful monophasic attacks affecting the brachial plexus before a fascicular plexus biopsy diagnosed large B-cell lymphoma. The initial attacks were responsive to steroids with clinical resolution. At last attack, magnetic resonance imaging showed multifocal T2 hyperintensities and nodular gadolinium enhancement in the right brachial plexus not seen previously. Read More

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http://dx.doi.org/10.1016/j.mayocpiqo.2018.10.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260480PMC
December 2018
4 Reads

Immune-mediated neurological manifestations of dengue virus- a study of clinico-investigational variability, predictors of neuraxial involvement, and outcome with the role of immunomodulation.

Neurol India 2018 Nov-Dec;66(6):1634-1643

Department of Neurology, Government Medical College Kota, Rajasthan, India.

Introduction: Our aim was to study dengue-related immune-mediated neurological complications (IMNC) during the recent epidemic.

Materials And Methods: This was a cross-sectional observational study of 79 IMNC cases from 1627 laboratory confirmed dengue cases from January 2015 to January 2016 and their follow-up for 3 months. According to the World Health Organization, cases were categorized into those having dengue fever (DF), and those having a severe syndrome that includes dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS). Read More

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http://dx.doi.org/10.4103/0028-3886.246273DOI Listing
December 2018
20 Reads
1.084 Impact Factor

[Sonographic characteristics of non-traumatic focal hourglass-like nerve constriction].

Zh Nevrol Psikhiatr Im S S Korsakova 2018;118(10):10-13

Medical Center 'Motus', Yaroslavl, Russia.

Aim: To describe the sonographic phenomenon of the focal 'hourglass-like constriction' of the peripheral nerves (FCPN).

Material And Methods: The authors described 7 patients meeting the criteria for the diagnosis of neuralgic amyotrophy with unilateral FCPN identified with ultrasound in 4 cases and detected intraoperatively in 3 cases (preliminary ultrasound was not performed). The US scanner Sonoscape Pro mode gray scale in the transverse and longitudinal scanning, linear probe 8-15 MHz and Logiq9 scanner with elastography were used. Read More

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http://www.mediasphera.ru/issues/zhurnal-nevrologii-i-psikhi
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http://dx.doi.org/10.17116/jnevro201811810110DOI Listing
March 2019
9 Reads

The Incremental Value of Magnetic Resonance Neurography for the Neurosurgeon: Review of the Literature.

World Neurosurg 2019 Feb 9;122:331-341. Epub 2018 Nov 9.

Department of Neurosurgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. Electronic address:

Introduction: Magnetic resonance neurography (MRN) is a newer imaging technique that is increasingly used for detailed visualization of peripheral nerves not reliably achieved with conventional imaging modalities. Although MRN has been previously characterized in the literature, few studies have assessed its utility to neurosurgery, where there is potentially substantial impact particularly with preoperative assessment. In this article, we performed a retrospective review of cases in which MRN was used for clinical evaluation and surgical decision making. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183251
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http://dx.doi.org/10.1016/j.wneu.2018.10.212DOI Listing
February 2019
16 Reads
2.417 Impact Factor

Brachial Plexus Neuritis Associated With Anti-Programmed Cell Death-1 Antibodies: Report of 2 Cases.

Mayo Clin Proc Innov Qual Outcomes 2017 Sep 1;1(2):192-197. Epub 2017 Sep 1.

Department of Neurology, Mayo Clinic, Rochester, MN.

Recently, guidelines have been outlined for management of immune-related adverse events occurring with immune checkpoint inhibitors in cancer, irrespective of affected organ systems. Increasingly, these complications have been recognized as including diverse neuromuscular presentations, such as demyelinating and axonal length-dependent peripheral neuropathies, vasculitic neuropathy, myasthenia gravis, and myopathy. We present 2 cases of brachial plexopathy developing on anti-programmed cell death-1 checkpoint inhibitor therapies (pembrolizumab, nivolumab). Read More

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http://dx.doi.org/10.1016/j.mayocpiqo.2017.07.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6134904PMC
September 2017
5 Reads

[Neurologic disorders and Hepatitis E: Review of literature].

Rev Med Interne 2018 Nov 20;39(11):842-848. Epub 2018 Jul 20.

Département de médecine interne, hôpital universitaire de Grenoble, 38700, Grenoble, La Tronche cedex, France.

Introduction: Hepatitis E is an emerging, worldwide disease. It is often asymptomatic. Nevertheless, in few cases, clinical manifestation such as neurological disorder could be present. Read More

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http://dx.doi.org/10.1016/j.revmed.2018.06.008DOI Listing
November 2018
3 Reads

Hypertrophic neuritis causing tetraparesis in a cat.

J Vet Med Sci 2018 Aug 21;80(8):1277-1280. Epub 2018 Jun 21.

Faculty of Applied Biological Sciences, Gifu University, Gifu 501-1193, Japan.

An 8-year-old castrated male cat presented with acute ataxia and paresis in all four limbs. The cat also exhibited signs of autonomic nervous system impairment. Magnetic resonance imaging revealed swelling of the brachial plexuses bilaterally. Read More

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http://dx.doi.org/10.1292/jvms.17-0675DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6115275PMC
August 2018
4 Reads

Giant Cell Ependymoma of Cervicomedullary Junction: A Case Report of a Long-Term Survivor and Literature Review.

World Neurosurg 2018 Aug 14;116:121-126. Epub 2018 May 14.

Division of Neurosurgery, Department of Neurology and Psychiatry, "Sapienza" University of Rome, Rome, Italy.

Background: Ependymoma accounts for 3%-9% of all neuroepithelial tumors. Giant cell ependymoma (GCE) is a rare and distinct variant, with only 22 cases described in the literature. The 2007 World Health Organization classification first acknowledged this rare subtype. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183099
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http://dx.doi.org/10.1016/j.wneu.2018.05.040DOI Listing
August 2018
38 Reads

Hepatitis E virus in neurological disorders: a case of Parsonage-Turner syndrome.

Rev Esp Enferm Dig 2018 Jun;110(6):402-403

Gastroenterología y Hepatología, Hospital Universitario La Paz.

Hepatitis E virus (HEV) infection is an emerging disease in developed countries with a broad clinical spectrum. In the absence of immunodeficiency or pregnancy, it is a mild and almost asymptomatic condition in most cases. However, extrahepatic manifestations, including neurological conditions, are common and may occasionally lead to permanent neurological sequelae. Read More

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http://dx.doi.org/10.17235/reed.2018.5506/2018DOI Listing
June 2018
5 Reads

Is pharmacologic treatment better than neural mobilization for cervicobrachial pain? A randomized clinical trial.

Int J Med Sci 2018 8;15(5):456-465. Epub 2018 Mar 8.

European University. School of Sports Science.

This study aim was to compare the effectiveness of the median nerve neural mobilization (MNNM) and cervical lateral glide (CLG) intervention versus oral ibuprofen (OI) in subjects who suffer cervicobrachial pain (CP). This investigation was a, multicenter, blinded, randomized controlled clinical trial (NCT02595294; NCT02593721). A number of 105 individuals diagnosed with CP were enrolled in the study and treated in 2 different medical facilities from July to November 2015. Read More

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http://www.medsci.org/v15p0456.htm
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http://dx.doi.org/10.7150/ijms.23525DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5859768PMC
August 2018
22 Reads

Brachial plexitis or neuritis? MRI features of lesion distribution in Parsonage-Turner syndrome.

Muscle Nerve 2018 Sep 25;58(3):359-366. Epub 2018 Mar 25.

Department of Physiatry, Sports Medicine, Hospital for Special Surgery, New York, New York, USA.

Introduction: This study seeks to characterize lesion distribution in Parsonage-Turner Syndrome (PTS) using high-resolution MRI.

Methods: MRIs of 27 patients with clinically confirmed PTS were reviewed. Two radiologists independently evaluated the brachial plexus proper, side and terminal plexus branches, and more distal, upper extremity nerves. Read More

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http://doi.wiley.com/10.1002/mus.26108
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http://dx.doi.org/10.1002/mus.26108DOI Listing
September 2018
14 Reads

Contralateral lumbosacral plexopathy following lumbar microdiscectomy.

Br J Neurosurg 2018 Jan 26:1-5. Epub 2018 Jan 26.

a Neurosurgery , St George's Hospital , London , UK.

We describe the unique case of a 51-year-old lady who developed a contralateral lumbosacral plexopathy two days after a lumbar microdiscectomy. This is the first report to date of this complication occurring following this procedure. We review the literature regarding lumbosacral plexopathy and discuss the evidence base behind investigating and managing this condition and the potential pathophysiological mechanisms which underlie its development. Read More

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http://dx.doi.org/10.1080/02688697.2018.1429568DOI Listing
January 2018
9 Reads
0.947 Impact Factor

Baroreflex stimulation attenuates central but not peripheral inflammation in conscious endotoxemic rats.

Brain Res 2018 Mar 6;1682:54-60. Epub 2018 Jan 6.

Department of Physiology, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil. Electronic address:

We previously reported that activation of the baroreflex, a critical physiological mechanism controlling cardiovascular homeostasis, through electrical stimulation of the aortic depressor nerve attenuates joint inflammation in experimental arthritis. However, it is unknown whether baroreflex activation can control systemic inflammation. Here, we investigate whether baroreflex activation controls systemic inflammation in conscious endotoxemic rats. Read More

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http://dx.doi.org/10.1016/j.brainres.2018.01.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262230PMC
March 2018
4 Reads

Neuralgic amyotrophy in children.

Muscle Nerve 2018 06 23;57(6):932-936. Epub 2018 Jan 23.

Department of Neurology, Boston Children's Hospital, 300 Longwood Avenue, Boston, Massachusetts, 02115, USA.

Introduction: Neuralgic amyotrophy (NA) is characterized by the clinical triad of pain, muscle weakness/atrophy, and sensory symptoms.

Methods: We retrospectively identified children (≤18 years old) over the course of 15 years (2003-2017) at a single pediatric center.

Results: We included 22 patients (8 females and 14 males, 6-18 years old); pain was the presenting manifestation in all of them. Read More

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http://dx.doi.org/10.1002/mus.26060DOI Listing
June 2018
5 Reads

Glenohumeral Joint Sepsis after Joint Injection through a New Tattoo.

J Radiol Case Rep 2017 Nov 30;11(11):28-35. Epub 2017 Nov 30.

Aviation Medicine Clinic Training Wing 5, Milton, FL, USA.

We report a case of Propionibacterium acnes septic arthritis of a shoulder following two joint access procedures. Methodical investigation of these two procedures was performed using the Joint Commission root cause analysis matrix, which involved examination of protocols, interviews with technologists and physicians, and inspection of the procedure rooms and equipment. No procedural error or other causal factor for infection was found other than the injection through a five day-old tattoo during the first procedure. Read More

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http://dx.doi.org/10.3941/jrcr.v11i11.3197DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5741353PMC
November 2017
5 Reads

Chronic Brachial Plexus Neuritis That Developed into Typical Neuralgic Amyotrophy and Positively Responded to Immunotherapy.

Intern Med 2018 Apr 21;57(7):1021-1026. Epub 2017 Dec 21.

Department of Neurology, Tokyo Metropolitan Neurological Hospital, Japan.

Based on the hypothesis that autoimmunity plays a role in the pathogenesis of neuralgic amyotrophy (NA), immunotherapy is sometimes administered. Early intervention is recommended for a good prognosis. We herein report the case of a 55-year-old man who presented with neuralgia, weakness, and muscle atrophy in his right shoulder girdle and upper arm, which progressed for ten months following a marine sports accident. Read More

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http://dx.doi.org/10.2169/internalmedicine.9482-17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5919865PMC
April 2018
9 Reads

High-resolution ultrasound in patients with Wartenberg's migrant sensory neuritis, a case-control study.

Clin Neurophysiol 2018 01 21;129(1):232-237. Epub 2017 Nov 21.

Department of Neurology, Brain Center Rudolf Magnus, UMC Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands. Electronic address:

Objective: Wartenberg's migrant sensory neuritis (WMSN) is a rare, patchy, pure sensory neuropathy of unknown etiology. High-resolution ultrasonography (HRUS) is an emerging diagnostic technique for neuropathies, but it has not been applied in WMSN. In this study we aimed to determine HRUS abnormalities in WMSN. Read More

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http://dx.doi.org/10.1016/j.clinph.2017.10.040DOI Listing
January 2018
16 Reads

Accessory neuropathy after sternotomy: Clinico-anatomical correlation supporting an inflammatory cause.

Clin Anat 2018 Apr 18;31(3):417-421. Epub 2017 Dec 18.

Seattle Science Foundation, Seattle, Washington.

Inflammatory etiologies are becoming increasingly recognized as explanations of some neuropathies, especially those occurring in the perioperative period. Although "brachial neuritis" is known to affect extraplexal nerves, accessory nerve palsy following median sternotomy has been attributed to stretch on the nerve. To better elucidate stretch as a potential cause, a cadaveric study was performed. Read More

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http://dx.doi.org/10.1002/ca.23026DOI Listing
April 2018
11 Reads

Extremely Painful Multifocal Acquired Predominant Axonal Sensorimotor Neuropathy of the Upper Limb.

J Ultrasound Med 2018 Jun 21;37(6):1565-1574. Epub 2017 Nov 21.

Department of Neurology and Clinical Neurophysiology, Radboud University Medical Center, Donders Center for Neuroscience, Nijmegen, the Netherlands.

The differential diagnosis of upper extremity mononeuritis multiplex includes neuralgic amyotrophy, vasculitic neuropathy, and Lewis-Sumner syndrome. We describe 3 patients initially suspected of neuralgic amyotrophy, who had an extremely painful, protracted, progressive disease course, not fitting one of these established diagnoses. Nerve ultrasonography showed focal caliber changes of the roots, plexus, and limb nerves. Read More

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http://dx.doi.org/10.1002/jum.14492DOI Listing
June 2018
7 Reads

Observational safety study of specific outcomes after trivalent cell culture seasonal influenza vaccination (Optaflu ) among adults in THIN database of electronic UK primary healthcare records.

Pharmacoepidemiol Drug Saf 2018 Jan 20;27(1):52-58. Epub 2017 Nov 20.

QuinitilesIMS Ltd, London, UK.

Purpose: To investigate the safety of trivalent seasonal influenza vaccine (TIVc) (Optaflu ), the first cell culture seasonal trivalent influenza vaccine available in Europe.

Methods: Codes and unstructured text in adult electronic healthcare records (The Health Improvement Network) were searched for a TIVc brand name or batch number and possible outcomes within a 3 month pre- to 6 month post-TIVc exposure study period (2012-2015). The outcomes were severe allergic reactions, Bell's palsy, convulsions, demyelination, paresthesia, noninfectious encephalitis, neuritis (optic and brachial), vasculitis, inflammatory bowel disease, and thrombocytopenia. Read More

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http://dx.doi.org/10.1002/pds.4347DOI Listing
January 2018
13 Reads

Accuracy of MR neurography in the diagnosis of brachial plexopathy.

Eur J Radiol 2017 Oct 19;95:24-27. Epub 2017 Jul 19.

Department of Radiology, University of Missouri School of Medicine One Hospital Drive, DC069.10, M292 Columbia, MO 65212, United States. Electronic address:

Objective: To assess the accuracy of MR neurography (MRN) for the diagnosis for brachial plexopathy.

Materials And Methods: Forty-three 43 consecutive cases or MRN with electrodiagnostic study correlation were reviewed independently by 2 readers. Established diagnostic criteria were employed: increased signal intensity, enlargement, loss of fascicular pattern, perineural edema and enhancement after administration of gadolinium contrast. Read More

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http://dx.doi.org/10.1016/j.ejrad.2017.07.012DOI Listing
October 2017
7 Reads

Surgical and Clinical Decision Making in Isolated Long Thoracic Nerve Palsy.

Hand (N Y) 2018 11 4;13(6):689-694. Epub 2017 Oct 4.

2 Washington University in St. Louis, MO, USA.

Background: Isolated long thoracic nerve palsy results in scapular winging and destabilization. In this study, we review the surgical management of isolated long thoracic nerve palsy and suggest a surgical technique and treatment algorithm to simplify management.

Methods: In total, 19 patients who required surgery for an isolated long thoracic nerve palsy were reviewed retrospectively. Read More

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http://dx.doi.org/10.1177/1558944717733306DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300170PMC
November 2018
66 Reads

[Parsonage-Turner Syndrome - Case Report].

Z Orthop Unfall 2017 Dec 19;155(6):705-707. Epub 2017 Sep 19.

Orthopädische Chirurgie, Orthoclinic Hamburg.

Neuralgic amyotrophy of the shoulder (Parsonage-Turner syndrome) is a rare condition of unknown aetiology which manifests as acute neuropathy of the brachial plexus. Diagnosis is based on typical symptoms and physical examination. In addition, magnetic resonance imaging of the affected shoulder and the cervical spine is advisable, in order to distinguish this syndrome from other conditions with similar symptoms. Read More

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http://dx.doi.org/10.1055/s-0043-114416DOI Listing
December 2017
36 Reads

Infant brachial neuritis following a viral prodrome: a case in a 6-month old child and review of the literature.

Childs Nerv Syst 2018 01 7;34(1):173-176. Epub 2017 Sep 7.

Department of Neurosurgery, Pennsylvania State University College of Medicine, Hershey, PA, 17033, USA.

Introduction: Brachial neuritis, commonly known as Parsonage-Turner syndrome, affects two to three people per 100,000 and presents with pain and weakness of the arm and shoulder. Brachial neuritis is uncommon in infants.

Methods: Here, we present the case of a 6-month old female, who presented with right upper extremity weakness and paresis following a viral prodrome. Read More

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http://dx.doi.org/10.1007/s00381-017-3591-yDOI Listing
January 2018
13 Reads

Winging of the scapula diagnosed as Parsonage-Turner syndrome: a case report.

US Army Med Dep J 2017 Jul-Sep(2-17):99-101

Darnall Army Medical Center, Fort Hood, Texas.

A 24-year-old active duty female Soldier complained of right shoulder burning, stinging, electrical shock-like pain with radiation to the right hand after completing a ruck march. She also complained of swelling and feelings of her cold right hand. Examination showed a deficit in the deltoid, upper trapezius, supraspinatus, and also right winging of the scapula. Read More

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May 2018
9 Reads

Hepatitis E virus as a cause of acute hepatitis acquired in Switzerland.

Liver Int 2018 04 7;38(4):619-626. Epub 2017 Sep 7.

Division of Gastroenterology and Hepatology, University Hospital Lausanne, Lausanne, Switzerland.

Background: Autochthonous hepatitis E is increasingly recognized as zoonotic infection in western countries. Serological assays have varying sensitivity and specificity.

Methods: We implemented molecular testing to identify and characterize acute hepatitis E acquired in Switzerland. Read More

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http://dx.doi.org/10.1111/liv.13557DOI Listing
April 2018
14 Reads

Clinical phenotype and outcome of hepatitis E virus-associated neuralgic amyotrophy.

Neurology 2017 Aug 2;89(9):909-917. Epub 2017 Aug 2.

From the Jeroen Bosch Hospital (J.J.J.v.E.), 's-Hertogenbosch, the Netherlands; Royal Cornwall Hospital (H.R.D., R.G.M., C.J., J. Herrod, R.F.L., H.H.A., M.A., O.A.B.A.L.M., B.N.M., R.P.B.); European Centre for the Environment and Human Health (H.R.D., R.P.B.), University of Exeter, Truro, UK; Neurocenter of Southern Switzerland (P.R., C.G., G.M.), Lugano; Department of Neurology and Neuroscience (M.F.) and Institute for Virology (M.P.), Medical Center-University of Freiburg and Faculty of Medicine, University of Freiburg, Germany; Microbiology Department (E.P.), EOLAB (SMIC), Bellinzona, Switzerland; University Hospital Lausanne (CHUV) (M.F., D.B., T.K., V.A., R.S., D.M.), Switzerland; Université Paul Sabatier (H.B.-P., J.-M.P., N.K., J.I.), Toulouse, France; Centre Hospitalo-Universitaire Timone (S.A., R.G., P.C.); IHU-Méditerranée Infection (P.C.), Aix-Marseille Université, AP-HM, France; San Bortolo Hospital (M.T.G.), Vicenza, Italy; University Medical Center Hamburg-Eppendorf (J. Hartl, S.P.), Germany; Northumbria University (N.X.L.), Newcastle upon Tyne, UK; CHU Rangueil (N.K.); CHU Purpan (H.B.-P., J.-M.P., N.K., J.I.), Toulouse, France; Erasmus MC (B.C.J.), University Medical Centre Rotterdam; and Department of Neurology (N.v.A., B.G.M.v.E.), Donders Center for Medical Neuroscience, Radboudumc Nijmegen, the Netherlands.

Objective: To determine the clinical phenotype and outcome in hepatitis E virus-associated neuralgic amyotrophy (HEV-NA).

Methods: Cases of NA were identified in 11 centers from 7 European countries, with retrospective analysis of demographics, clinical/laboratory findings, and treatment and outcome. Cases of HEV-NA were compared with NA cases without evidence of HEV infection. Read More

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http://dx.doi.org/10.1212/WNL.0000000000004297DOI Listing
August 2017
39 Reads

Idiopathic Brachial Neuritis in a Patient with Multiple Myeloma.

J Clin Diagn Res 2017 Jun 1;11(6):OD11-OD12. Epub 2017 Jun 1.

Department of Neurology, Sisli Hamidiye Etfal Education and Research Hospital, Istanbul, Turkey.

Idiopathic Brachial Neuritis (IBN), is a rare brachial plexopathy with an unknown aetiology. Multiple myeloma is a neoplastic plasma cell disease characterised by bone lesions. In this article, we present the case of a 59-year-old male patient with IBN associated with multiple myeloma, who was admitted to our clinic with right shoulder pain and right arm weakness. Read More

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http://dx.doi.org/10.7860/JCDR/2017/22426.10082DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5535420PMC
June 2017
19 Reads

18F-FDG Uptake in Parsonage-Turner Syndrome.

Clin Nucl Med 2017 Oct;42(10):e444-e446

From the Department of Diagnostic Imaging, National University Hospital of Singapore, Singapore.

A 55-year-old man with large B-cell lymphoma developed atraumatic left shoulder pain. F-FDG PET/CT revealed new left supraspinatus and infraspinatus muscle uptake while the initial disease resolved. Given the discrepancy between initial disease treatment response and new left shoulder findings, an MRI scan was performed. Read More

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http://Insights.ovid.com/crossref?an=00003072-201710000-0003
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http://dx.doi.org/10.1097/RLU.0000000000001772DOI Listing
October 2017
27 Reads

Atypical presentation of Parsonage-Turner syndrome confounded by surgical rotator cuff injury.

BMJ Case Rep 2017 Jul 24;2017. Epub 2017 Jul 24.

Department of Orthopaedic Surgery and Sports Medicine, Temple University Hospital, Philadelphia, Pennsylvania, USA.

Parsonage-Turner syndrome (PTS) is a rare neuropathy that commonly presents as unexpected severe shoulder and arm pain that eventually subsides while weakness or paralysis ensues. During exceptions to this classic presentation, confirming PTS can be challenging. Alternative causes of upper extremity pain may confound the diagnostic algorithm. Read More

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http://dx.doi.org/10.1136/bcr-2017-220532DOI Listing
July 2017
7 Reads

Hepatitis E virus infection and acute non-traumatic neurological injury: A prospective multicentre study.

J Hepatol 2017 11 20;67(5):925-932. Epub 2017 Jul 20.

Department of Neurology and Immunology, Erasmus MC, University Medical Centre Rotterdam, The Netherlands.

Background & Aims: Hepatitis E virus (HEV) has been associated with a number of neurological syndromes, but causality has not yet been established. The aim of this study was to explore the relationship between HEV and neurological illness by prospective HEV testing of patients presenting with acute non-traumatic neurological injury.

Methods: Four hundred and sixty-four consecutive patients presenting to hospital with acute non-traumatic neurological illnesses were tested for HEV by serology and PCR from four centres in the UK, France and the Netherlands. Read More

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http://dx.doi.org/10.1016/j.jhep.2017.07.010DOI Listing
November 2017
23 Reads

Serial diaphragm ultrasound studies in neuralgic amyotrophy with bilateral phrenic neuropathies.

Muscle Nerve 2017 12 8;56(6):E168-E170. Epub 2017 Aug 8.

Department of Neurology, Neuromuscular Division, Washington University in St. Louis, St. Louis, Missouri, USA.

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http://dx.doi.org/10.1002/mus.25750DOI Listing
December 2017
4 Reads

A case of progressive orthopnoea and shoulder pain secondary to bilateral diaphragmatic paralysis.

BMJ Case Rep 2017 Jul 18;2017. Epub 2017 Jul 18.

Respiratory Medicine, Royal Albert Edward Infirmary, Wigan, UK.

A 45-year-old man with a raised body mass index presented with an acute history of right lower chest pain and increasing breathlessness. C reactive protein, D dimer and cardiac echocardiography were negative, with mild bibasal atelectasis the only positive reported finding from erect chest X-ray and CT pulmonary angiogram. He was discharged with antibiotics for a chest infection. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2017-21989
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http://dx.doi.org/10.1136/bcr-2017-219892DOI Listing
July 2017
13 Reads

Uncommon cause of cervicobrachial neuralgia: epidural abscess complicating tuberculous arthritis.

BMJ Case Rep 2017 Jul 17;2017. Epub 2017 Jul 17.

Department of Rheumatology, Military Hospital of Tunis, University of Tunis El Manar, Tunis, Tunisia.

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http://dx.doi.org/10.1136/bcr-2017-219458DOI Listing
July 2017
5 Reads

Modeling of Lung Function Recovery in Neuralgic Amyotrophy With Diaphragm Impairment.

Respir Care 2017 Oct 11;62(10):1269-1276. Epub 2017 Jul 11.

Respiratory Institute, Department of Pulmonary, Allergy, and Critical Care Medicine

Background: Neuralgic amyotrophy is an inflammatory peripheral nerve disorder in which phrenic nerve involvement can lead to diaphragm paralysis. The prevalence, magnitude, and time course of diaphragm recovery are uncertain.

Methods: This study modeled the course of recovery of lung function in 16 subjects with diaphragm impairment from neuralgic amyotrophy. Read More

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http://dx.doi.org/10.4187/respcare.05568DOI Listing
October 2017
24 Reads

Neuralgic Amyotrophy Attributed Incorrectly to Block-Related Injury: Understanding Errors in Clinical Reasoning.

Reg Anesth Pain Med 2017 Sep/Oct;42(5):645-648

From the *Department of Anesthesiology, Virginia Mason Medical Center, Seattle, WA; †Department of Anesthesiology, Kansas City Orthopaedic Institute, Leawood; and ‡Mission, KS.

Objective: We report a case of misdiagnosed neuralgic amyotrophy (brachial plexus neuritis, Parsonage-Turner syndrome). Our primary objective is to review the scientific basis for errors in clinical reasoning.

Case Report: We herein report a patient in whom signs and symptoms compatible with neuralgic amyotrophy presented after shoulder surgery. Read More

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http://Insights.ovid.com/crossref?an=00115550-201709000-0001
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http://dx.doi.org/10.1097/AAP.0000000000000632DOI Listing
September 2018
7 Reads

[An unrecognized cause of dyspnoea].

Ned Tijdschr Geneeskd 2017 ;161:D1135

Zuyderland Medisch Centrum Sittard-Geleen, Geleen.

Background: Neuralgic amyotrophy is characterised by pain in the neck or shoulder region, followed by neuropathy of both motor and sensory nerves of the brachial plexus. The incidence of this condition is estimated at 1/1000 per year. In a rare variant of the syndrome, involvement of both phrenic nerves can occur, leading to diaphragmatic paralysis and severe orthopnoea. Read More

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June 2018
2 Reads

Hepatitis E virus and neurological disorders.

Pract Neurol 2017 Aug 24;17(4):282-288. Epub 2017 Jun 24.

Gastroenterology Department, The Royal Cornwall Hospitals NHS Trust, Truro, UK.

Hepatitis E is the most common cause of hepatitis worldwide. While originally considered a disease of developing countries, it is increasingly recognised in developed countries, probably related to contaminated pork meat, and where infection is often asymptomatic. However, several non-liver manifestations have become apparent, the most important of which are neurological, including Guillain-Barré syndrome (acute inflammatory demyelinating polyradiculoneuropathy (AIDP)), neuralgic amyotrophy and meningoencephalitis. Read More

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http://pn.bmj.com/lookup/doi/10.1136/practneurol-2016-001588
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http://dx.doi.org/10.1136/practneurol-2016-001588DOI Listing
August 2017
18 Reads

Diagnosing neuralgic amyotrophy: Choosing the right test at the right time.

Authors:
Nens Van Alfen

Muscle Nerve 2017 12 29;56(6):1020-1021. Epub 2017 Aug 29.

Department of Neurology and Clinical Neurophysiology 920, Donders Institute for Brain, Cognition, and Behavior, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.

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http://dx.doi.org/10.1002/mus.25730DOI Listing
December 2017
2 Reads

Focused high-resolution sonography of the suprascapular nerve: A simple surrogate marker for neuralgic amyotrophy?

Clin Neurophysiol 2017 08 19;128(8):1438-1444. Epub 2017 May 19.

Department of Radiology, Medical University Innsbruck, Anichstraße 35, Innsbruck, Austria.

Objectives: To define the diagnostic value of high-resolution ultrasound (HRUS) of the suprascapular nerve (SSN) in the diagnosis of neuralgic amyotrophy (NA).

Methods: The cross-section areas (CSA) of the SSN at the C5 root (CSA1) and the omohyoid muscle in the midclavicular line (CSA2) were assessed bilaterally in 15 healthy volunteers and 14 patients with clinically and electrophysiologically verified NA. Receiver-operator-characteristics (ROC) curves were generated and cut-off values, sensitivity, specificity, positive (PPV) and negative predictive values (NPV), likelihood (LR) and odds ratios (OR) were calculated. Read More

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http://dx.doi.org/10.1016/j.clinph.2017.04.030DOI Listing
August 2017
16 Reads

Ultrasonography in neuralgic amyotrophy: Sensitivity, spectrum of findings, and clinical correlations.

Muscle Nerve 2017 Dec 15;56(6):1054-1062. Epub 2017 Jun 15.

Department of Neurology, Städtisches Klinikum Dessau, Dessau, Germany.

Introduction: The aim of this study was to assess the value of ultrasonography in neuralgic amyotrophy.

Methods: Fifty-three patients with 70 affected nerves were examined with high-resolution ultrasound.

Results: The most commonly affected nerve was the anterior interosseous (23%). Read More

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http://dx.doi.org/10.1002/mus.25708DOI Listing
December 2017
14 Reads

Hourglass-Like Constriction of the Brachial Plexus in the Posterior Cord: A Case Report.

Neurosurgery 2018 Jan;82(1):E1-E5

Department of Hand Surgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.

Background And Importance: Hourglass-like constrictions are fascicular conditions confirmed definitively by interfascicular neurolysis. Certain peripheral nerves have vulnerable areas such as around the elbow in the posterior interosseous nerve. We report the first hourglass-like constriction in the brachial plexus supplying the radial innervated forearm musculature. Read More

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http://dx.doi.org/10.1093/neuros/nyx171DOI Listing
January 2018
42 Reads

Ultrasonographic findings of proximal median neuropathy: A case series of suspected distal neuralgic amyotrophy.

J Neurol Sci 2017 Jun 24;377:1-5. Epub 2017 Mar 24.

Division of Neurology, Kobe University Graduate School of Medicine, Japan.

Spontaneous anterior interosseous nerve (AIN) palsy develops following the resolution of nerve pain, which may be considered as distal neuralgic amyotrophy. NA is assumed to have a complex etiology, but an autoimmune mechanism is likely involved. However, precise assessment of the lesion is challenging. Read More

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http://dx.doi.org/10.1016/j.jns.2017.03.037DOI Listing
June 2017
28 Reads

ACR Appropriateness Criteria Plexopathy.

J Am Coll Radiol 2017 May;14(5S):S225-S233

Specialty Chair, University of Cincinnati Medical Center, Cincinnati, Ohio.

MRI without and with contrast is the most accurate imaging method to determine whether a process is intrinsic or extrinsic to a nerve of the brachial or lumbosacral plexus. However, there are no Current Procedural Terminology codes to correspond to imaging studies of the brachial or lumbar plexus discretely. This assessment uses "MRI of the brachial plexus" or "MRI of the lumbosacral plexus" as independent entities given that imaging acquisition for the respective plexus differs in sequences and planes compared with those of a routine neck, chest, spine, or pelvic MRI, yet acknowledges the potential variability of ordering practices across institutions. Read More

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http://dx.doi.org/10.1016/j.jacr.2017.02.002DOI Listing
May 2017
37 Reads