» Articles » PMID: 19633902

Brachial Neuritis Caused by Varicella-zoster Diagnosed by Changes in Brachial Plexus on MRI

Overview
Journal J Neurol
Specialty Neurology
Date 2009 Jul 28
PMID 19633902
Citations 9
Authors
Affiliations
Soon will be listed here.
Abstract

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.

Citing Articles

Magnetic Resonance Imaging-Negative Varicella Zoster Virus Plexopathy in a Young Patient: A Case Report.

Gul S, Ahmed A, McGraw C, Nasany R Cureus. 2023; 15(6):e39876.

PMID: 37404385 PMC: 10315163. DOI: 10.7759/cureus.39876.


Risk factors and nomogram-based prediction of the risk of limb weakness in herpes zoster.

Li S, Feng D Front Neurosci. 2023; 17:1109927.

PMID: 36992857 PMC: 10040572. DOI: 10.3389/fnins.2023.1109927.


L5 mononeuritis, an uncommon cause of foot drop: illustrative case.

Peselzon O, Colditz M, Maclachlan L J Neurosurg Case Lessons. 2023; 5(5).

PMID: 36718866 PMC: 10550712. DOI: 10.3171/CASE22499.


Magnetic resonance imaging of the brachial plexus. Part 1: Anatomical considerations, magnetic resonance techniques, and non-traumatic lesions.

Szaro P, McGrath A, Ciszek B, Geijer M Eur J Radiol Open. 2022; 9:100392.

PMID: 34988263 PMC: 8695258. DOI: 10.1016/j.ejro.2021.100392.


Zoster-associated limb paralysis mimicking acute stroke: a case report.

Dalugama C, Jayasinghe R, Rathnayaka N, Medagama A J Med Case Rep. 2021; 15(1):380.

PMID: 34325739 PMC: 8323315. DOI: 10.1186/s13256-021-02971-7.


References
1.
Helms C, Martinez S, Speer K . Acute brachial neuritis (Parsonage-Turner syndrome): MR imaging appearance--report of three cases. Radiology. 1998; 207(1):255-9. DOI: 10.1148/radiology.207.1.9530324. View

2.
Suarez G, Giannini C, Bosch E, Barohn R, Wodak J, Ebeling P . Immune brachial plexus neuropathy: suggestive evidence for an inflammatory-immune pathogenesis. Neurology. 1996; 46(2):559-61. DOI: 10.1212/wnl.46.2.559. View

3.
WEIKERS N, Mattson R . Acute paralytic brachial neuritis. A clinical and electrodiagnostic study. Neurology. 1969; 19(12):1153-8. DOI: 10.1212/wnl.19.12.1153. View

4.
Waxman S . The flexion-adduction sign in neuralgic amyotrophy. Neurology. 1979; 29(9 Pt 1):1301-4. DOI: 10.1212/wnl.29.9_part_1.1301. View

5.
Tsairis P, Dyck P, MULDER D . Natural history of brachial plexus neuropathy. Report on 99 patients. Arch Neurol. 1972; 27(2):109-17. DOI: 10.1001/archneur.1972.00490140013004. View