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Brachial neuritis

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https://www.readbyqxmd.com/read/29202391/high-resolution-ultrasound-in-patients-with-wartenberg-s-migrant-sensory-neuritis-a-case-control-study
#1
Ingrid J T Herraets, H Stephan Goedee, Johan A Telleman, Jan-Thies H van Asseldonk, Leo H Visser, W Ludo van der Pol, Leonard H van den Berg
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. METHODS: We performed a case-control study of 8 newly diagnosed patients with WMSN and 22 treatment-naive disease controls (16 patients with pure sensory axonal neuropathy and 6 with pure sensory chronic inflammatory demyelinating polyneuropathy (CIDP) or Lewis-Sumner syndrome (LSS))...
November 21, 2017: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/29193420/accessory-neuropathy-after-sternotomy-clinico-anatomical-correlation-supporting-an-inflammatory-cause
#2
Mohammad W Kassem, Joe Iwanaga, Marios Loukas, Jonathan J Stone, Jay Smith, Robert J Spinner, R Shane Tubbs
INTRODUCTION: 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. MATERIALS AND METHODS: Two patients who developed accessory nerve palsy following median sternotomy are presented to illustrate features consistent with the diagnosis of a perioperative inflammatory neuropathy...
November 28, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/29152808/observational-safety-study-of-specific-outcomes-after-trivalent-cell-culture-seasonal-influenza-vaccination-optaflu-%C3%A2-among-adults-in-thin-database-of-electronic-uk-primary-healthcare-records
#3
Gillian C Hall, Paul T G Davies, M Yousuf Karim, Mendel D M Haag, Caroline O'Leary
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...
November 20, 2017: Pharmacoepidemiology and Drug Safety
https://www.readbyqxmd.com/read/28987674/accuracy-of-mr-neurography-in-the-diagnosis-of-brachial-plexopathy
#4
Julia Crim, Kevin Ingalls
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. An additional 37 cases without electrodiagnostic correlation were included in a second portion of the study, which evaluated interobserver variability...
October 2017: European Journal of Radiology
https://www.readbyqxmd.com/read/28884231/infant-brachial-neuritis-following-a-viral-prodrome-a-case-in-a-6-month-old-child-and-review-of-the-literature
#5
Oliver D Mrowczynski, Sara T Langan, Elias B Rizk
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. We also present a summary of all reported cases of brachial neuritis in infants. RESULTS: This is the youngest case of brachial neuritis diagnosed at our institution...
September 7, 2017: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/28764228/idiopathic-brachial-neuritis-in-a-patient-with-multiple-myeloma
#6
Lale Cerrahoglu, Ozlem Erol, Tuba Cerrahoglu Sirin
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. He experienced muscle weakness and atrophy in his right arm after a sudden onset of pain attack in the shoulder. Plexus and cervical vertebral MRI showed no pathology...
June 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28759527/18f-fdg-uptake-in-parsonage-turner-syndrome
#7
Gary Sem Wye Yoong, Arvind Kumar Sinha, Lih Kin Khor, Yazeed Nasser Bin Dous, James Thomas Patrick Decourcy Hallinan
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. This demonstrated diffuse supraspinatus and infraspinatus muscle edema and enhancement with no focal lesion. Muscle biopsy was negative for lymphoma, but features of muscle denervation were seen...
October 2017: Clinical Nuclear Medicine
https://www.readbyqxmd.com/read/28665875/neuralgic-amyotrophy-attributed-incorrectly-to-block-related-injury-understanding-errors-in-clinical-reasoning
#8
Joseph M Neal, Susan S Porter, Barry P Wilson
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. The patient's brachial plexopathy was attributed incorrectly as a complication of interscalene brachial plexus block. The true diagnosis was made only after the patient developed neuralgic amyotrophy in the contralateral upper extremity after a subsequent shoulder surgery on that side, this time without a brachial plexus block...
September 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28195999/clinical-significance-of-arterial-stiffness-and-metabolic-syndrome-scores-in-vestibular-neuritis
#9
Jae Ho Chung, Seung Hwan Lee, Chul Won Park, Jin Hyeok Jeong, Jeong-Hun Shin
OBJECTIVE: To investigate the clinical significance of cardiovascular factors, including arterial stiffness and metabolic syndrome scores, in the development of vestibular neuritis. STUDY DESIGN: A prospective, case-control study. SETTING: Tertiary referral center. PATIENTS: Fifty-eight adult patients with vestibular neuritis (VN) and 58 age- and sex-matched controls were evaluated between January 2015 and January 2016...
June 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/27790497/an-unusual-presentation-of-scrub-typhus
#10
Giridhar Reddy Banda, Srikrishna Raghavendra Boddu, Priyanka Ballal, Jayaprakash Belle
Presentation of scrub typhus associated with brachial neuritis is extremely rare with only a few cases reported so far. Here, we report a case of a 45-year-old female who presented with fever and right shoulder pain. Laboratory parameters showed leucocytosis with ELISA and PCR for scrub typhus positive. Electromyography (EMG) and Nerve Conduction Velocity (NCV) study was suggestive of brachial neuritis. She was given doxycycline therapy for 10 days following which her shoulder pain resolved.
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/26991053/a-case-of-relapsing-remitting-facial-palsy-and-ipsilateral-brachial-plexopathy-caused-by-hsv-1
#11
Karl B Alstadhaug, Hanne W Kvarenes, Jan Prytz, Christian Vedeler
The etiologies of Bell's palsy and brachial neuritis remain uncertain, and the conditions rarely co-occur or reoccur. Here we present a woman in her twenties who had several relapsing-remitting episodes with left-sided facial palsy and brachial neuropathy. The episodes always started with painful left-sided oral blisters. Repeat PCRs HSV-1 DNA from oral vesicular lesions were positive. Extensive screening did not reveal any other underlying cause. Findings on MRI T2-weighted brachial plexus STIR images, using a 3...
May 2016: Journal of Clinical Virology: the Official Publication of the Pan American Society for Clinical Virology
https://www.readbyqxmd.com/read/26948383/brachial-neuritis-or-parsonage-turner-syndrome-a-problem-of-liability-a-presentation-of-3-cases
#12
M Rodríguez-Hornillo, M C de la Riva, R Ojeda
Neuralgic amyotrophy, brachial neuritis or Parsonage-Turner syndrome is a rare neuromuscular involvement of unknown aetiology. When it onsets in connection with a health care act, such as childbirth or surgery, a malpractice argument is often used as a cause of adverse outcome, usually due to an incorrect position of the patient on the operating table, a circumstance which directly involves the anesthesia area. Three cases are presented of Parsonage-Turner syndrome following very different surgery, with different results as regards prognosis...
August 2016: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/25755411/association-of-bell-s-palsy-with-hepatitis-e-virus-infection-a-rare-entity
#13
Ashish K Jha, Sandeep Nijhawan, Subhash Nepalia, Arya Suchismita
Hepatitis E virus (HEV) infection is a common cause of acute hepatitis in India and other developing countries. The data regarding the neurologic manifestation of HEV infection are limited. The neurologic disorders including Guillain-Barré syndrome, polyradiculopathy, neuralgic amyotrophy, encephalitis, bilateral brachial neuritis, ataxia/proximal myopathy, and acute transverse myelitis have been described. Bell's palsy and other cranial nerve involvement in hepatitis A virus (HAV) and HEV infection are rare...
March 2012: Journal of Clinical and Experimental Hepatology
https://www.readbyqxmd.com/read/25633151/a-novel-dynamin-2-gene-mutation-associated-with-a-late-onset-centronuclear-myopathy-with-necklace-fibres
#14
Olivera Casar-Borota, Johan Jacobsson, Rolf Libelius, Carola Hedberg Oldfors, Edoardo Malfatti, Norma Beatriz Romero, Anders Oldfors
Nuclear centralisation and internalisation, sarcoplasmic radiating strands and type 1 muscle fibre predominance and hypotrophy characterise dynamin-2 (DNM2) associated centronuclear myopathy, whereas necklace fibres are typically seen in late onset myotubularin-1 (MTM1)-related myopathy. We report a woman with unilateral symptoms probably related to brachial plexus neuritis. Electromyography revealed localised neuropathic and generalised myopathic abnormalities. The typical features of DNM2 centronuclear myopathy with additional necklace fibres were found in the muscle biopsy...
April 2015: Neuromuscular Disorders: NMD
https://www.readbyqxmd.com/read/25624937/idiopathic-brachial-neuritis-in-a-child-a-case-report-and-review-of-the-literature
#15
Shikha Jain, Girish Chandra Bhatt, Nirendra Rai, Bhavna Dhingra Bhan
Brachial neuritis is a rare disease in children, affecting mainly the lower motor neurons of the brachial plexus and/or individual nerves or nerve branches. We report a case of idiopathic brachial plexus neuritis in a 2½-year-old female child admitted with acute respiratory distress and given antibiotic therapy following which she developed weakness of the left hand. She was diagnosed as a case of idiopathic brachial plexus neuritis and was given supportive care. Although, the association with antibiotic therapy in this case could be incidental, indeed it is intriguing and requires further studies...
September 2014: Journal of Pediatric Neurosciences
https://www.readbyqxmd.com/read/25534571/-bilateral-diaphragmatic-paralysis-due-to-parsonage-turner-syndrome
#16
D Tissier-Ducamp, S Martinez, K Alagha, D Charpin, P Chanez, A Palot
We report the case of a 49-years-old patient who presented to the accident and emergency department with sudden onset dyspnea associated with acute shoulder pain. He was breathless at rest with supine hypoxemia. He had an amyotrophic left shoulder with localized paresis of the shoulder. Both hemi-diaphragms were elevated on chest X-rays. Pulmonary function tests showed a restrictive pattern and both phrenic nerve conduction velocities were decreased. At night, alveolar hypoventilation was evidenced by elevated mean capnography (PtcCO2: 57mmHg)...
September 2015: Revue des Maladies Respiratoires
https://www.readbyqxmd.com/read/25475029/-neuralgic-amyotrophy
#17
Kazuhiro Fukushima, Shuichi Ikeda
Neuralgic amyotrophy (NA) is a distinct peripheral nervous system (PNS) disorder characterized by sudden attacks of neuropathic pain, usually in a unilateral upper extremity, and patchy paresis with atrophy in the glenohumeral muscles. The lesion sites of NA are commonly considered to be upper brachial plexus (BP) and/or individual branches of the BP. The cause of NA remains unknown. Some evidence suggests a complex pathogenesis in NA that includes predisposition and susceptible PNS structures, and it can be triggered by infection, trauma, and strenuous exercise...
December 2014: Brain and Nerve, Shinkei Kenkyū No Shinpo
https://www.readbyqxmd.com/read/25415516/cervicobrachial-polymyositis
#18
Satish V Khadilkar, Namit Gupta, Rakhil S Yadav
OBJECTIVES: To characterize and analyze a subgroup of patients with polymyositis presented with predominant or isolated proximal upper limb and neck weakness. METHODS: Patients with polymyositis, presenting with predominant or isolated weakness of upper limbs and the neck, were included. Bohan and Peter and Targoff criteria were used for the diagnosis of polymyositis. The study period was of 14 years (from 1999 to 2013). Detailed clinical, laboratory, histopathological, and/or radiological profiles were evaluated and analyzed in all patients...
December 2014: Journal of Clinical Neuromuscular Disease
https://www.readbyqxmd.com/read/25303617/myofibroma-of-the-cervical-spine-presenting-as-brachialgia
#19
Benjamin M Davies, Daniel du Plessis, Kanna K Gnanalingham
Myofibromas are rare, benign tumors of myofibroblasts. Their occurrence in adults, involving bone outside of the head and neck, is especially uncommon. The authors report the case of a 34-year-old woman who presented with left-sided brachialgia. Magnetic resonance imaging identified an expansile soft-tissue lesion of the C6-7 facet joint. En bloc resection via a left posterior midline approach was undertaken. Histopathological analysis confirmed the lesion to be a myofibroma. Brachialgia resolved following surgery and there is no evidence of recurrence at 20 months follow-up...
December 2014: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/25303615/extra-hepatic-manifestations-of-autochthonous-hepatitis-e-infection
#20
K L Woolson, A Forbes, L Vine, L Beynon, L McElhinney, V Panayi, J G Hunter, R G Madden, T Glasgow, A Kotecha, H C Dalton, L Mihailescu, U Warshow, H S Hussaini, J Palmer, B N Mclean, B Haywood, R P Bendall, H R Dalton
BACKGROUND: Autochthonous (locally acquired) hepatitis E is increasingly recognised in developed countries, and is thought to be a porcine zoonosis. A range of extra-hepatic manifestations of hepatitis E infection have been described, but have never been systematically studied. AIM: To report the extra-hepatic manifestations of hepatitis E virus. METHODS: Retrospective review of data of 106 cases of autochthonous hepatitis E (acute n = 105, chronic n = 1)...
December 2014: Alimentary Pharmacology & Therapeutics
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