1,960 results match your criteria: "Brachial Neuritis"

Various neurological complications have been linked with vaccines ranging from encephalitis, stroke, ADEM to GBS and many more. Although both viral as well as bacterial vaccines have been reported to cause neurological adverse events, brachial plexitis following vaccination is very uncommon. Vaccination drive against COVID-19 was started on 16th Jan 2021 in India.

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Parsonage-Turner-syndrome associated with infection.

Respirol Case Rep

December 2024

Klinik für Pneumologie Evangelische Lungenklinik Berlin Berlin Germany.

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Post-procedural Brachial Neuritis: Clinical, Electrodiagnostic and Neuroimaging features.

AJNR Am J Neuroradiol

November 2024

From the School of Medicine (V.S.A), Department of Neurology (N.M., N.A., A.N.P, B.R.B, R.P.K), Department of Neurological Surgery (V.S.A., P.V.M), and Department of Radiology and Biomedical Imaging (V.N.S), Neuroradiology Section, University of California, San Francisco, San Francisco, California, USA.

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Early aggressive constriction resection for hourglass-like constriction of peripheral nerve in the upper extremity: a retrospective study.

Neurochirurgie

November 2024

Department of Peripheral Nerve, RenCi Hospital, No.11 Yang Shan Road, Xu Zhou 221005, China. Electronic address:

Objectives: The hourglass like constriction (HGC) of peripheral nerves is a characteristic pathological manifestation of Neuralgic Amyotrophy. Once identified, early surgical intervention is essential. However, the method of surgery is controversial, particularly regarding whether HGC needs to be excised.

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  • * Atypical cases of NA can affect other nerves, such as those in the lumbosacral plexus, intercostal area, and occasionally cranial nerves.
  • * This text discusses a case of atypical NA that impacted both upper limbs and involved cranial nerves in a patient already diagnosed with celiac disease.
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  • Hereditary Neuralgic Amyotrophy (HNA) is an autosomal dominant disorder linked to mutations in the SEPTIN9 gene, causing episodes of severe pain and muscle atrophy, particularly affecting the brachial plexus.
  • * In a study of a large family with HNA, genetic analysis showed a mutation (NM_001113491.2:p.Arg106Trp) in the SEPTIN9 gene present in six affected members, leading to significant changes in the protein's structure and function.
  • * Despite sharing the same genetic mutation, affected family members exhibited a wide range of symptoms, suggesting that factors such as variable penetrance and epigenetic influences may contribute to this variability.
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Neuralgic amyotrophy presentation of acute intermittent porphyria: A case report.

J Peripher Nerv Syst

December 2024

Service d'ENMG et de pathologies neuromusculaires, centre de référence des maladies neuromusculaires PACA-Réunion-Rhône-Alpes, Hôpital Neurologique Pierre Wertheimer, Hospices Civils de Lyon, Groupement Est, Bron, France.

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  • Porphyrias are genetic disorders that affect heme production, with acute hepatic porphyrias (AHP) like acute intermittent porphyria (AIP) often mimicking neurological conditions, leading to potential misdiagnoses.
  • A 41-year-old woman experienced symptoms resembling neuralgic amyotrophy but was ultimately diagnosed with AIP after finding elevated levels of porphobilinogen and delta-aminolevulinic acid, following an initial misdiagnosis.
  • This case highlights the importance of considering AIP in patients with acute neuropathies, particularly when they present with abdominal symptoms, to ensure timely and effective treatment.
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Neuralgic amyotrophy (NA) is an underrecognized peripheral nerve disorder distinguished by severe pain followed by weakness in the distribution of one or more nerves, most commonly in the upper extremity. While classically felt to carry a favorable prognosis, updates in research have demonstrated that patients frequently endure delay in diagnosis and continue to experience long term pain, paresis, and fatigue even years after the diagnosis is made. A transition in therapeutic approach is recommended and described by this review, which emphasizes the necessity to target compensatory abnormal motor control and fatigue by focusing on motor coordination, energy conservation strategies, and behavioral change, rather than strength training which may worsen the symptoms.

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  • The study investigates the relationship between infections or vaccinations and the onset of neuralgic amyotrophy (NA), a condition causing nerve pain and weakness.
  • Conducted across multiple centers, the research involved matching NA patients with healthy controls while collecting clinical data and biological samples, focusing on prior infections and vaccinations.
  • Results showed that 38.6% of NA cases had an identified immune trigger (either an infection or vaccination), with significant associations found between certain viral infections and the severity of the condition.
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Introduction: Parsonage-Turner Syndrome is an uncommon cause of shoulder pain.

Case Representation: Herein, we present the case of a male in his 40s, who was presented with a 3-month history of acute onset of intense shoulder pain, which decreased rapidly leaving behind a residual upper limb weakness. The diagnosis of Parsonage-Turner Syndrome following COVID-19 vaccination was made based on electroneuromyography and magnetic resonance imaging findings.

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A foxhound from a hunting kennel in the United Kingdom was euthanized after being hospitalized with progressive neurologic signs, including tremors, seizures, and obtunded mentation. No abnormalities were appreciated on gross examination. Histologically, severe meningoencephalomyelitis and mild neuritis of the brachial plexus were present.

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  • Acute peripheral neuropathy, commonly known as Parsonage-Turner syndrome, primarily impacts the upper brachial plexus, causing severe pain, weakness, and sensory issues, with its causes largely unknown but often linked to viral infections.
  • The case presented involves a professional wrestler diagnosed with Parsonage-Turner syndrome following vaccination, and serves as an example amid a review of relevant literature.
  • Effective management includes administering corticosteroids in the acute phase and subsequent physical therapy to alleviate pain and support nerve regeneration.
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Neuralgic Amyotrophy.

Dtsch Arztebl Int

July 2024

Department of Neurology, Cologne-Merheim, Hospitals of the City of Cologne, Cologne; Cologne-Merheim Lung Clinic, Hospitals of the City of Cologne, Cologne; Health Faculty/Department for Human Medicine, University of Witten/Herdecke.

Article Synopsis
  • Neuralgic amyotrophy (NA) is a painful condition causing severe pain and weakness in shoulder nerves, with a high incidence rate, but many cases are diagnosed late or missed entirely.
  • Diagnosis and treatment of NA involve understanding its complex causes, including genetics, immune factors, and mechanical stress, with early corticosteroid administration as the primary treatment.
  • Despite existing treatment options, untreated NA can lead to long-term work disability and chronic pain, highlighting the need for proper diagnosis in patients with relevant symptoms.*
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Idiopathic brachial neuritis is an uncommon disorder that predominately affects the superior and middle trunks of the brachial plexus. Severe throbbing and aching shoulder pain is initially present for a period of days to weeks, followed by severe weakness and atrophy that can develop for an extended period of months to years. There are currently no known treatments for brachial neuritis, with the standard of care consisting of analgesics and corticosteroids, which typically provide minimal to no benefit in most cases.

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Introduction: The causes of diaphragmatic paresis are manifold. An association between neuralgic amyotrophy (NA) and hepatitis E virus (HEV) infection has been reported. We wondered about the prevalence of diaphragmatic disfunction and hepatitis E infection in our clinic.

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During the second wave of the COVID-19 pandemic, a young adult presented symptoms that were reported at first evaluation to be a frozen shoulder (adhesive capsulitis). The patient's history, clinical manifestations related to the onset of pain, unilateral weakness, and physical examination led to a physiotherapy referral. Subsequent instrumental investigations showed an idiopathic brachial neuritis known as Parsonage-Turner Syndrome (PTS).

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Updates in diagnostic tools for diagnosing nerve injury and compressions.

J Hand Surg Eur Vol

June 2024

Department of Neurology, Clinical Neuromuscular Imaging Group, Donders Centre for Neuroscience, Radboud University Medical Centre, Nijmegen, The Netherlands.

Predicting prognosis after nerve injury and compression can be challenging, even for the experienced clinician. Although thorough clinical assessment can aid diagnosis, we cannot always be precise about long-term functional recovery of either motor or sensory nerves. To evaluate the severity of nerve injury, surgical exploration remains the gold standard, particularly after iatrogenic injury and major nerve injury from trauma, such as brachial plexus injury.

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Parsonage-Turner Syndrome, or neuralgic amyotrophy, is an acute-onset upper limb and shoulder girdle palsy that can occur in a post-viral, post-surgical or idiopathic setting. There have also been some reported cases of the syndrome occurring following vaccinations. The pathophysiology of neuralgic amyotrophy is not completely understood and many of the commonly used diagnostic imaging modalities we use to try and diagnose this syndrome are inaccurate and misleading.

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Article Synopsis
  • Hourglass-like constrictions (HLCs) of peripheral nerves are an uncommon type of neuralgic amyotrophy, leading to sudden pain and weakness in the arm while generally sparing sensory function.
  • A 22-year-old female presented with left arm pain and finger numbness, and examinations indicated an issue with the anterior interosseous nerve (AIN), suggesting multiple HLCs.
  • Despite conservative treatments, surgery was performed, revealing seven HLCs; post-surgery, the patient experienced significant pain relief and regained partial finger movement, suggesting that early surgical intervention might improve nerve recovery outcomes.
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