Brachial neuritis caused by varicella-zoster diagnosed by changes in brachial plexus on MRI. 2010

Tariq Ayoub, and Vivek Raman, and Muhammad Chowdhury
Guys and St. Thomas Hospital, London, UK. tariqayoub@gmail.com

Brachial neuritis is a rare disorder affecting the brachial plexus. It is characterized by the acute onset of shoulder and arm pain followed by weakness, sensory loss and atrophy. Diagnosis is essentially clinical with electrophysiological investigations and imaging useful in excluding other differentials and supporting the diagnosis. Magnetic resonance imaging (MRI) usually does not show any pathology in the brachial plexus or spinal cord. We present a case of a patient who had brachial neuritis preceded by varicella zoster infection. This was supported by MRI which showed abnormal signal consistent with inflammatory changes in the brachial plexus.

UI MeSH Term Description Entries
D008279 Magnetic Resonance Imaging Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques. Chemical Shift Imaging,MR Tomography,MRI Scans,MRI, Functional,Magnetic Resonance Image,Magnetic Resonance Imaging, Functional,Magnetization Transfer Contrast Imaging,NMR Imaging,NMR Tomography,Tomography, NMR,Tomography, Proton Spin,fMRI,Functional Magnetic Resonance Imaging,Imaging, Chemical Shift,Proton Spin Tomography,Spin Echo Imaging,Steady-State Free Precession MRI,Tomography, MR,Zeugmatography,Chemical Shift Imagings,Echo Imaging, Spin,Echo Imagings, Spin,Functional MRI,Functional MRIs,Image, Magnetic Resonance,Imaging, Magnetic Resonance,Imaging, NMR,Imaging, Spin Echo,Imagings, Chemical Shift,Imagings, Spin Echo,MRI Scan,MRIs, Functional,Magnetic Resonance Images,Resonance Image, Magnetic,Scan, MRI,Scans, MRI,Shift Imaging, Chemical,Shift Imagings, Chemical,Spin Echo Imagings,Steady State Free Precession MRI
D001917 Brachial Plexus The large network of nerve fibers which distributes the innervation of the upper extremity. The brachial plexus extends from the neck into the axilla. In humans, the nerves of the plexus usually originate from the lower cervical and the first thoracic spinal cord segments (C5-C8 and T1), but variations are not uncommon. Plexus, Brachial
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old
D014645 Herpesvirus 3, Human The type species of VARICELLOVIRUS causing CHICKENPOX (varicella) and HERPES ZOSTER (shingles) in humans. Chickenpox Virus,Herpes zoster Virus,Ocular Herpes zoster Virus,VZ Virus,Varicella-Zoster Virus,HHV-3,Herpesvirus 3 (alpha), Human,Herpesvirus Varicellae,Human Herpesvirus 3,Chickenpox Viruses,Herpes zoster Viruses,VZ Viruses,Varicella Zoster Virus,Varicella-Zoster Viruses,Varicellae, Herpesvirus
D020968 Brachial Plexus Neuritis A syndrome associated with inflammation of the BRACHIAL PLEXUS. Clinical features include severe pain in the shoulder region which may be accompanied by MUSCLE WEAKNESS and loss of sensation in the upper extremity. This condition may be associated with VIRUS DISEASES; IMMUNIZATION; SURGERY; heroin use (see HEROIN DEPENDENCE); and other conditions. The term brachial neuralgia generally refers to pain associated with brachial plexus injury. (From Adams et al., Principles of Neurology, 6th ed, pp1355-6) Amyotrophy, Neuralgic,Cervico-Brachial Neuralgia,Neuralgia, Amyotrophic,Neuralgic Amyotrophy,Neuritis, Brachial Plexus,Parsonage-Turner Syndrome,Shoulder-Girdle Neuropathy,Amyotrophic Neuralgia,Amyotrophy, Hereditary Neuralgic,Amyotrophy, Hereditary Neuralgic, with Predilection for Brachial Plexus,Brachial Neuralgia,Brachial Neuritis,Brachial Plexus Neuropathy, Hereditary,Cervicobrachial Neuralgia,Familial Brachial Plexus Neuritis,Hereditary Brachial Plexus Neuropathy,Hereditary Neuralgic Amyotrophy,Heredofamilial Neuritis with Brachial Plexus Predilection,Neuritis With Brachial Predilection,Parsonage-Aldren-Turner Syndrome,Shoulder Girdle Neuropathy,Amyotrophic Neuralgias,Amyotrophies, Hereditary Neuralgic,Amyotrophies, Neuralgic,Brachial Neuralgias,Brachial Neuritides,Brachial Plexus Neuritides,Cervico Brachial Neuralgia,Cervico-Brachial Neuralgias,Cervicobrachial Neuralgias,Girdle Neuropathies, Shoulder,Girdle Neuropathy, Shoulder,Hereditary Neuralgic Amyotrophies,Neuralgia, Brachial,Neuralgia, Cervico-Brachial,Neuralgia, Cervicobrachial,Neuralgias, Amyotrophic,Neuralgias, Brachial,Neuralgias, Cervico-Brachial,Neuralgias, Cervicobrachial,Neuralgic Amyotrophies,Neuralgic Amyotrophies, Hereditary,Neuralgic Amyotrophy, Hereditary,Neuritides, Brachial,Neuritides, Brachial Plexus,Neuritis, Brachial,Neuropathies, Shoulder Girdle,Neuropathies, Shoulder-Girdle,Neuropathy, Shoulder Girdle,Neuropathy, Shoulder-Girdle,Parsonage Aldren Turner Syndrome,Parsonage Turner Syndrome,Shoulder Girdle Neuropathies,Shoulder-Girdle Neuropathies,Syndrome, Parsonage-Aldren-Turner,Syndrome, Parsonage-Turner

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