AI Article Synopsis

  • A 26-year-old woman experienced severe pain and muscle weakness in her arms during pregnancy and after childbirth, with previous similar episodes in childhood.
  • During examination, significant muscle wasting and reduced strength in her arms were noted, leading to a diagnosis of brachial plexopathy through electromyography (EMG) tests.
  • The study highlighted the need for early diagnosis and understanding potential triggers, including metabolic, immune, and hereditary factors that could contribute to her condition.

Article Abstract

We present the case of a 26-year-old woman with recurrent episodes of severe pain, weakness, and atrophy in her bilateral upper extremities during pregnancy and puerperium. She reported 2 similar episodes at ages 5 and 10 years, after which she fully recovered. On examination, we observed significant atrophy in her bilateral upper extremity muscles with decreased strength. Needle electromyography (EMG) revealed neurogenic damage in her bilateral upper limbs. The patient's clinical manifestations and auxiliary examination suggested a brachial plexopathy. Metabolic and immune factors that may occur during pregnancy and puerperium were evaluated. We also screened for paraneoplastic, neoplastic, and genetic factors. Finally, a hereditary form of disease was considered. This case emphasizes the importance of early diagnosis and avoidance of triggers.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10065203PMC
http://dx.doi.org/10.1212/WNL.0000000000201705DOI Listing

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