Brachial neuritis

Imaging in
Lyme neuroborreliosis. Brachial plexus neuritis in a 74-year-old woman with acute distal right arm paresis. In the preceding weeks she had nausea, vomiting and weight loss, and felt increasingly forgetful and unsteady. A fluid-sensitive coronal STIR sequence showed diffusely increased signal of the nerve bundle on the right side (arrows) compared to the left side. Lumbar puncture followed, and showed cell count of 101/mm3 as well as a positive Bb IgG antibody index (AI)
insightsimaging.springeropen.com • Open Access
COVID-19
atypical Parsonage-Turner syndrome: a case report. Presentation of patient’s neuropathic symptoms as captured by the neurological physical examination. In light grey: T1 dermatome. In dark grey: T2 dermatome. In blue: areas characterized by dysesthesia. In red: areas characterized by both dysesthesia and mild hypoesthesia. Image was hand produced and graphically elaborated by Lorenzo Di Stefano on behalf of all authors
bmcneurol.biomedcentral.com • CC-by-4.0
COVID-19
atypical Parsonage-Turner syndrome: a case report. (A-B): DWI coronal scan showing segmental DWI-restriction of the left upper trunk (proximal–distal extension:6 cm) (A), confirmed at ADC-map (B)
bmcneurol.biomedcentral.com • CC-by-4.0
COVID-19
atypical Parsonage-Turner syndrome: a case report. (A-B-C): T2-weighted short-tau inversion recovery (STIR) MRI sequences showing corresponding hyperintensity and thickening of the left upper trunk
bmcneurol.biomedcentral.com • CC-by-4.0
COVID-19
atypical Parsonage-Turner syndrome: a case report. (a-b): T2 STIR coronal scan showing some confluent lymph nodes with irregular borders in left supraclavicular fossa
bmcneurol.biomedcentral.com • CC-by-4.0
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Brachial plexitis refers to inflammatory change involving the brachial plexus. This is in contrast to a brachial plexopathy meaning any form of pathology involving the brachial plexus.

Epidemiology

Brachial plexitis is more commonly seen in men between 30 and 70 years of age and is bilateral in 10-30% of patients .

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 (related to previous serum, vaccine, antibiotic or other drug administration, human immunodeficiency virus serology)
  • recent surgery
  • anesthesia
  • Lyme disease
  • heredofamilial hypertrophic neuropathies
  • hereditary neuralgic amyotrophy (familial BPL neuropathy) 
  • idiopathic brachial plexitis
Siehe auch:
Assoziationen und Differentialdiagnosen zu Neuritis Plexus brachialis: