Brachial plexopathy

Case contributed by Dr Ali Abougazia

Presentation

This patient underwent cervical disc surgery about 6 months ago. Afterwards, she began experiencing left upper limb weakness.

Patient Data

Age: 55
Gender: Female
MRI

You can see :

  • Evidence of C3/C4 and C4/C5 discectomy and cage placement.
  • The lower cervical spinal nerves of the left brachial plexus, and their dorsal root ganglia from C5 to D1 are seen thickened eliciting slightly high T2/FLAIR signal with subtle post-contrast enhancement. No definite loss of fiber continuity or related masses.
  • The left shoulder girdle muscles as well as left arm, pectoralis major and latissimus dorsi muscles show reduced girth with high T2/STIR signals and post-contrast enhancement.
Annotated image

see below. 

Case Discussion

Left brachial plexopathy, likely post-operative sequelae due to excessive traction or malpositioning, or less commonly post-operative infection, with subsequent left shoulder girdle and left upper limb muscles atrophy and edema.

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Case information

rID: 21844
Case created: 21st Feb 2013
Last edited: 3rd Nov 2016
Inclusion in quiz mode: Included

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