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Traumatic brachial plexopathy in a patient with off‐state Parkinson disease
Author(s) -
Hoshiyama Eisei,
Kokubun Norito,
Hirata Koichi
Publication year - 2019
Publication title -
neurology and clinical neuroscience
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
0ISSN - 2049-4173
DOI - 10.1111/ncn3.12242
Subject(s) - brachial plexopathy , medicine , brachial plexus , brachial plexus injury , magnetic resonance neurography , upper limb , surgery , radiology , physical medicine and rehabilitation , magnetic resonance imaging
The patient was a 67‐year‐old woman who had an advanced Parkinson disease. She developed flaccid monoplegia with areflexia in the right upper limb after a fall during off‐state. Neurophysiological examinations revealed a neurapraxia in the proximal segment of the peripheral nerves. MRI showed high signal intensity in the right supraclavicular area including the brachial plexus and peripheral tissue on short TI inversion recovery images, which supported the diagnosis of the crush injury. The diagnosis of the traumatic brachial plexopathy was made. By the combination of neurophysiological examination and MRI, more elaborate diagnosis of the traumatic nerve injuries can be made.