II. Epidemiology

  1. Uncommon injury
  2. Often requires significant Trauma
    1. Motorcycle accidents
    2. Brachial Plexus Burner
    3. Brachial Plexus Injury from Birth Trauma

III. Signs

  1. Involved region depends on degree of brachial plaxus involvement
  2. In severe cases, arm may be completely paralyzed and Anesthetic
  3. Horner's Syndrome implies poor prognosis

V. Management

  1. See Brachial Plexus Burner
  2. See Brachial Plexus Injury from Birth Trauma
  3. Conservative Management for 3 weeks
    1. Maintain Shoulder and arm range of motion
  4. Myelography and Electromyography evaluation
    1. Normal Electromyogram (EMG)
      1. Consider early surgery
      2. Microscopic neurolysis and nerve repair
    2. Traction Meningoceles or dye pockets
      1. Indicates nerve roots avulsed from cord
      2. Suggests complete, non-reparable and poor prognosis
      3. Consider amputation above elbow 1 year after injury

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Related Studies

Ontology: Brachial Neuralgia (C0085920)

Concepts Disease or Syndrome (T047)
MSH D020968
SnomedCT 76691009
English Brachial Neuralgias, Neuralgias, Brachial, Neuralgia, Brachial, Brachial neuralgia, brachial neuralgia, Brachial plexus neuralgia (disorder), Brachial plexus neuralgia, Brachial Neuralgia
French Névralgie brachiale
German Brachialneuralgie
Norwegian Brakialnevralgi
Spanish neuralgia braquial (trastorno), neuralgia braquial, neuralgia del plexo braquial (trastorno), neuralgia del plexo braquial

Ontology: Brachial Plexus Neuropathies (C0700251)

Definition (NCI_CTCAE) A disorder characterized by regional paresthesia of the brachial plexus, marked discomfort and muscle weakness, and limited movement in the arm or hand.
Definition (NCI_NCI-GLOSS) A condition marked by numbness, tingling, pain, weakness, or limited movement in the arm or hand. It is caused by an impairment of the brachial plexus, a network of nerves that affect the arm and hand.
Definition (NCI) A brachial plexus disorder characterized by regional paresthesia, pain and muscle weakness, and limited movement in the arm or hand.
Definition (MSH) Diseases of the cervical (and first thoracic) roots, nerve trunks, cords, and peripheral nerve components of the BRACHIAL PLEXUS. Clinical manifestations include regional pain, PARESTHESIA; MUSCLE WEAKNESS, and decreased sensation (HYPESTHESIA) in the upper extremity. These disorders may be associated with trauma (including BIRTH INJURIES); THORACIC OUTLET SYNDROME; NEOPLASMS; NEURITIS; RADIOTHERAPY; and other conditions. (From Adams et al., Principles of Neurology, 6th ed, pp1351-2)
Concepts Disease or Syndrome (T047)
MSH D020516
ICD10 G54.0
SnomedCT 3548001
English Brachial Plexus Neuropathies, Brachial plexus disorders, BRACHIAL PLEXUS DIS, BPN - Brachial plex neuropathy, Brachial Plexus Disease, Brachial Plexus Diseases, Plexus Disease, Brachial, Plexus Diseases, Brachial, Brachial Plexus Disorder, Brachial Plexus Disorders, Plexus Disorder, Brachial, Plexus Disorders, Brachial, Neuropathies, Brachial Plexus, Neuropathy, Brachial Plexus, Plexus Neuropathies, Brachial, Plexus Neuropathy, Brachial, Plexopathies, Brachial, Brachial Plexopathy, Plexopathy, Brachial, Brachial Plexus Neuropathy, Brachial Plexus Neuropathies [Disease/Finding], brachial plexus disorder, brachial plexopathies, brachial plexopathy, brachial plexus neuropathy, brachial plexus disorder (diagnosis), Brachial plexus--Diseases, Brachial plexus neuropathy, BPN - Brachial plexus neuropathy, Brachial plexus disorder (disorder), Brachial plexus disorder, brachial plexus; neuropathy, brachial plexus; syndrome, disease (or disorder); plexus, brachial, neuropathy; brachial plexus, plexus brachialis; neuropathic, syndrome; brachial plexus, Brachial plexus neuropathy, NOS, Brachial plexopathy
Dutch brachiale plexopathie, aandoening; plexus, brachialis, neuropathie; plexus brachialis, plexus brachialis; neuropathie, syndroom; plexus brachialis, Aandoeningen van plexus brachialis, Brachiale plexopathie, Neuropathie, plexus-brachialis-, Plexus-brachialisneuropathie, Neuropathieën, plexus-brachialis-, Plexus-brachialisneuropathieën
German Schaedigung des Plexus brachialis, Laesionen des Plexus brachialis, Neuropathien des Plexus brachialis, Plexus-brachialis-Schädigung
Italian Plessopatia brachiale, Neuropatie del plesso brachiale
Portuguese Plexopatia braquial, Neuropatias do Plexo Braquial, Plexopatia Braquial
Spanish Plexopatía braquial, neuropatía del plexo braquial, Neuropatías del Plexo Braquial, Plexopatía Braquial
Swedish Brakialplexusneuropatier
Japanese ウデシンケイソウショウガイ, ワンシンケイソウショウガイ, エルブ麻痺, クルンプケ-デジェリン麻痺, デュシェンヌ・エルブ症候群, デュシェンヌ・エルブ麻痺, 下部腕神経叢麻痺, クルンプケ麻痺, 上腕症候群, エルブ・デュシェンヌ麻痺, 肩甲上神経麻痺, デジュリン・クルムプケ症候群, 腕神経叢ニューロパシー, 頸上腕症候群, 上腕神経叢障害, 上腕神経叢ニューロパシー, デュシェンヌ-エルブ症候群, 麻痺-腕神経叢, 下位型分娩性腕神経叢麻痺, エルブ-デュシェンヌ麻痺, 下位型腕神経叢麻痺, クルンプケ・デジェリン麻痺, デジェリン-クルンプケ症候群, 腕神経叢麻痺, Klumpke麻痺, クルンプケ-デジェリン症候群, クルンプケ・デジェリン症候群, デジェリン・クルンプケ症候群, デュシェンヌ-エルブ麻痺, デュシェンヌ麻痺, Erb麻痺, 腕神経叢障害
Czech plexus brachialis - neuropatie, brachiální plexopatie, Brachiální plexopatie
Finnish Hartiapunoksen neuropatiat
French Neuropathies du plexus brachial, Atteintes du plexus brachial, Neuropathies brachiales, Plexopathie brachiale
Russian PLECHEVAIA PLEKSOPATIIA, PLECHEVOGO SPLETENIIA NEVROPATIIA, ERBA PARALICH, KLIUMPKE PARALICH, КЛЮМПКЕ ПАРАЛИЧ, ПЛЕЧЕВАЯ ПЛЕКСОПАТИЯ, ПЛЕЧЕВОГО СПЛЕТЕНИЯ НЕВРОПАТИЯ, ЭРБА ПАРАЛИЧ
Korean 팔신경얼기 장애
Croatian Not Translated[Brachial Plexus Neuropathies]
Hungarian Plexus brachiális károsodás
Polish Neuropatie splotu barkowego
Norwegian Sykdommer i plexus brachialis, Plexus brachialis-nevropati