[Acute fulminant brachial plexopathy with good recovery: electrophysiological features]

We report a case of fulminant brachial plexopathy with radicular involvement. A 25-year-old man developed acute total monoplegia in the left upper limb. Needle electromyography showed extensive acute denervation in the C5-T1 spinal segments, and peripheral sensory nerve conduction was normal, mimicking a pre-ganglionic lesion. However, left median somatosensory evoked potentials revealed abnormal Erb's point potential, suggesting a brachial plexus lesion. Corticosteroid treatment resulted in good recovery. These findings suggest that the primary pathophysiology was conduction block and this can explain the good clinical recovery in this patient.