Articles: brachial-plexus-neuritis-diagnosis.
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Arch Phys Med Rehabil · May 2005
Case ReportsMagnetic resonance neurography diagnosed brachial plexitis: a case report.
Idiopathic brachial plexitis is a rare disorder presenting with pain and weakness in the shoulder girdle and upper extremity. Idiopathic brachial plexitis can mimic other conditions that cause acute pain and weakness around the shoulder, and its diagnosis can be challenging. There is no special test for the diagnosis of idiopathic brachial plexitis, although electromyography may be useful. In this case of idiopathic brachial plexitis, we present magnetic resonance neurography findings for the first time.
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To describe magnetic resonance imaging (MRI) findings in patients with suspected Parsonage Turner syndrome and to emphasize the value of an additional whole body MR scan to improve specificity of this diagnosis. ⋯ Whole body turboSTIR MR imaging is a useful diagnostic tool in the evaluation of patients with suspected Parsonage Turner syndrome. Inclusion of the brain, neck, brachial plexus, and extremity musculature at whole body imaging allows differentiation from polymyositis and elimination of additional causes of shoulder girdle pain and weakness including gross lesions in the brain, neck, and brachial plexus by a single non-invasive study.
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Review Case Reports
[Bilateral amyotrophic neuralgia (Parsonage Turner syndrome) with HIV seroconversion].
We report a unusual case of neuralgic amyotrophy (NA) occurring during the seroconversion stage of an HIV infection. Combined with previously published cases, our observation suggests that NA associated with HIV could belong to the group of early multiplex mononeuritis. Neurologists should be aware of HIV infection when managing a patient with NA.
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Three patients, one woman aged 22 and two men aged 54 and 28, presented with scapular winging. In the first patient amyotrophic plexus neuralgia was diagnosed. The second patient most probably suffered from a stretch injury of the long thoracic nerve. ⋯ Usually the prognosis for recovery from a neuropraxia and an idiopathic lesion of the N. thoracicus longus within a two-year period is good. The prognosis for an isolated lesion of the N. accessorius is much less favourable. An EMG is essential for establishing a diagnosis.
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Parsonage-Turner syndrome is an idiopathic brachial neuropathy affecting the 5(th) and the 6(th) roots. Giant-cells arteritis rarely affects the brachial plexus. In such cases, it can mimic Parsonage-Turner syndrome. We report a case focusing on clinical signs suggesting giant-cell arteritis.