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Brachial Plexopathies: Update on Treatment.

Elena Shanina1, Bing Liao2, Robert Glenn Smith3

  • 1Department of Neurology, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA. elshanin@utmb.edu.

Current Treatment Options in Neurology
|April 29, 2019
PubMed
Summary

Brachial plexopathies (BPs) are often misdiagnosed, especially non-traumatic types. Early diagnosis and multidisciplinary treatment, including surgery, improve outcomes for these complex nerve conditions.

Keywords:
Brachial plexopathyBrachial plexus injuryNeuralgic amyotrophy

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Area of Science:

  • Neurology
  • Neurosurgery
  • Medical Imaging

Background:

  • Brachial plexopathies (BPs) significantly impair function and quality of life.
  • Non-traumatic BPs are frequently under-recognized, leading to delayed diagnosis and treatment.
  • Idiopathic neuralgic amyotrophy may be more prevalent than previously estimated.

Purpose of the Study:

  • To review current treatment approaches for various types of brachial plexopathies.
  • To highlight the challenges in diagnosing and managing BPs, particularly non-traumatic etiologies.

Main Methods:

  • Literature review of current treatment strategies for brachial plexopathies.
  • Analysis of recent findings regarding diagnostic and therapeutic advancements.

Main Results:

  • Advances in diagnostic imaging can expedite treatment initiation.
  • Multidisciplinary care, including surgical options for refractory cases, is crucial for optimal outcomes.
  • Treatment strategies are largely based on retrospective data due to the rarity and heterogeneity of BPs.

Conclusions:

  • Improved recognition of BPs by primary providers is essential for timely referral and management.
  • While surgical and imaging advances show promise, controlled trials are needed to optimize treatment strategies.
  • Rapid diagnosis and a comprehensive, multidisciplinary approach are key to improving clinical outcomes for BP patients.