Öz
Idiopathic brachial neuritis is a disease by asymmetrical involvement of the brachial plexus, causing sudden onset, severe pain, muscle weakness, loss of function and sensation. It can be confused with many musculoskeletal problems. İdiopathic brachial neuritis should be kept in mind in the differential diagnosis of new-onset shoulder pain. Early recognition of this condition can prevent unnecessary surgical intervention. In this case report, we aimed to present a rare case of brachial neuritis with isolated long thoracic nerve involvement, defined by typical clinical and lectroneuromyography findings, and differential diagnostic tests
Anahtar Kelimeler
Brachial neuritis Brachial neuritis thoracic longus nerve electroneuromyography Brachial neuritis, thoracic longus nerve, electroneuromyography
Kaynakça
- Parsonage MJ, Turner JA. (1948). Neuralgic amyotrophy the shoulder-girdle syndrome. The Lancet 1948; 251 (6513): 973-8.
- McCarty EC, Tsairis P, Warren RF. Brachial neuritis. Clinical orthopaedics and related research 1999; (368): 37-43.
- Zander D, Perlick L, Diedrich O. Die N.-thoracicus-longus-Läsion als seltene Verletzung beim Kraftsport. Sportverletzung· Sportschaden 2000; 14 (04): 151-4.
- Alfonsi E, Moglia A, Sandrini G, et al. Electrophysiological study oflong thoracic nerve conduction in normal subjects. Electromyography and clinical neurophysiology 1986; 26 (1): 63-7.
- Oh SJ. Uncommon nerve conduction studies. Clinical electromyography 1993; 11: 267-70.
- Nacir B, Genç H, Çakıt BD, Karagöz A, Erdem HR. İzole Uzun Torasik Sinir Tutulumu ile Seyreden Brakial Nörit. Türk Fiz Tıp Rehab Derg 2009; 55 (2):83-6.
- Torres MO, Gudlavalleti A, Mesfin FB. Brachial plexitis (Parsonage Turner syndrome, brachial neuropathy, brachial radiculitis). StatPearls [Internet] 2020 [cited 2022 Jan]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448114
- Kuhlenbäumer G, Hannibal MC, Nelis E, et al. Mutations in SEPT9 cause hereditary neuralgic amyotrophy. Nature genetics 2005; 37 (10): 1044-6.
- Wiater JM, Flatow EL. Long thoracic nerve injury. Clinical orthopaedics and related research 1999; (368): 17-27.
- Santos RBMD, Santos SMD, Leal FJCC, et al. Parsonage-Turner syndrome. Rev Bras Ortop 2015; 50 (3): 336-41.
Öz
İdiyopatik brakiyal nörit, brakiyal pleksusun asimetrik tutulumu ile karakterize, ani başlangıçlı, şiddetli ağrı, kas güçsüzlüğü, fonksiyon ve duyu kaybına neden olan bir hastalıktır. Birçok kas-iskelet sistemi problemiyle karışabilmektedir. Yeni başlayan omuz ağrısında ayırıcı tanıda idiyopatik brakiyal nörit akılda bulundurulmalıdır. Bu durumun erken tanınması gereksiz cerrahi müdahaleyi önleyebilir. Bu olgu sunumunda, tipik klinik ve elektronöromiyografi bulguları ve ayırıcı tanı testleriyle tanımlanan, izole torasikus longus sinir tutulumu ile seyreden nadir bir brakiyal nörit vakasını sunmayı amaçladık.
Anahtar Kelimeler
Brakiyal nörit torasikus longus siniri Elektronöromiyografi. Brakiyal nörit, torasikus longus siniri, Elektronöromiyografi.
Kaynakça
- Parsonage MJ, Turner JA. (1948). Neuralgic amyotrophy the shoulder-girdle syndrome. The Lancet 1948; 251 (6513): 973-8.
- McCarty EC, Tsairis P, Warren RF. Brachial neuritis. Clinical orthopaedics and related research 1999; (368): 37-43.
- Zander D, Perlick L, Diedrich O. Die N.-thoracicus-longus-Läsion als seltene Verletzung beim Kraftsport. Sportverletzung· Sportschaden 2000; 14 (04): 151-4.
- Alfonsi E, Moglia A, Sandrini G, et al. Electrophysiological study oflong thoracic nerve conduction in normal subjects. Electromyography and clinical neurophysiology 1986; 26 (1): 63-7.
- Oh SJ. Uncommon nerve conduction studies. Clinical electromyography 1993; 11: 267-70.
- Nacir B, Genç H, Çakıt BD, Karagöz A, Erdem HR. İzole Uzun Torasik Sinir Tutulumu ile Seyreden Brakial Nörit. Türk Fiz Tıp Rehab Derg 2009; 55 (2):83-6.
- Torres MO, Gudlavalleti A, Mesfin FB. Brachial plexitis (Parsonage Turner syndrome, brachial neuropathy, brachial radiculitis). StatPearls [Internet] 2020 [cited 2022 Jan]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448114
- Kuhlenbäumer G, Hannibal MC, Nelis E, et al. Mutations in SEPT9 cause hereditary neuralgic amyotrophy. Nature genetics 2005; 37 (10): 1044-6.
- Wiater JM, Flatow EL. Long thoracic nerve injury. Clinical orthopaedics and related research 1999; (368): 17-27.
- Santos RBMD, Santos SMD, Leal FJCC, et al. Parsonage-Turner syndrome. Rev Bras Ortop 2015; 50 (3): 336-41.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 12 Eylül 2022 |
| Gönderilme Tarihi | 3 Kasım 2021 |
| Yayımlandığı Sayı | Yıl 2022Cilt: 61 Sayı: 3 |
