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Postprocedural Brachial Neuritis: Clinical, Electrodiagnostic, and Neuroimaging Features.

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Area of Science:

  • Neurology
  • Radiology
  • Medical Diagnostics

Background:

  • Brachial neuritis is an acute condition affecting the brachial plexus, causing pain and weakness.
  • It can occur after medical procedures like surgery.
  • Delayed diagnosis is common, necessitating accurate imaging.

Purpose of the Study:

  • To analyze clinical, electrodiagnostic, and neuroimaging features of postprocedural brachial neuritis.
  • To highlight the role of MR neurography in diagnosing this condition.
  • To raise awareness among neuroradiologists about this entity.

Main Methods:

  • Retrospective analysis of six patients with postprocedural brachial neuritis.
  • Inclusion of clinical, electrodiagnostic, and MR neurography data.
  • Focus on identifying characteristic imaging findings.

Main Results:

  • Six patients underwent procedures including cervical spine surgery and rotator cuff repair.
  • All patients showed electrodiagnostic and MR neurography findings consistent with brachial neuritis.
  • MR neurography revealed plexus abnormalities, C5/C6 root/upper trunk involvement, and hourglass constrictions in some cases.

Conclusions:

  • Postprocedural brachial neuritis is an under-recognized cause of upper extremity symptoms.
  • MR neurography is crucial for diagnosis, excluding iatrogenic causes, and identifying nerve constrictions.
  • Awareness of this condition and its imaging findings is vital for diagnostic neuroradiologists.