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Adding Value to the Magnetic Resonance Examination in a Case of Brachial Plexus Birth Palsy

We report a case of brachial plexus birth palsy in an infant with the inability to move the left upper limb since birth. There was neither history of birth trauma nor any complications during delivery. Magnetic resonance imaging (MRI) of brachial plexus showed postganglionic injury with musculoskele...

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Autores principales: Dsouza, Ajay Prashanth, Tandon, Sachin, Gundogan, Munire, Abdalla, Abdalla Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6118109/
https://www.ncbi.nlm.nih.gov/pubmed/30197829
http://dx.doi.org/10.4103/jcis.JCIS_26_18
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author Dsouza, Ajay Prashanth
Tandon, Sachin
Gundogan, Munire
Abdalla, Abdalla Ali
author_facet Dsouza, Ajay Prashanth
Tandon, Sachin
Gundogan, Munire
Abdalla, Abdalla Ali
author_sort Dsouza, Ajay Prashanth
collection PubMed
description We report a case of brachial plexus birth palsy in an infant with the inability to move the left upper limb since birth. There was neither history of birth trauma nor any complications during delivery. Magnetic resonance imaging (MRI) of brachial plexus showed postganglionic injury with musculoskeletal abnormalities. The child underwent surgical repair of the plexus and is on physical rehabilitation. In this case report, we discuss the utility of a single MRI examination with an elaborate discussion on various MRI signs of brachial plexus injury including secondary musculoskeletal manifestations. The case reiterates the significance of two-in-one approach while imaging these cases with MRI. Apart from reporting the damage to the brachial plexus, the radiologist should actively search for glenohumeral dysplasia. Awareness of classification and assessment of glenohumeral dysplasia should be routinely included as an integral part of imaging report as it adds incremental value to the overall patient management and functional outcome.
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spelling pubmed-61181092018-09-07 Adding Value to the Magnetic Resonance Examination in a Case of Brachial Plexus Birth Palsy Dsouza, Ajay Prashanth Tandon, Sachin Gundogan, Munire Abdalla, Abdalla Ali J Clin Imaging Sci Case Report We report a case of brachial plexus birth palsy in an infant with the inability to move the left upper limb since birth. There was neither history of birth trauma nor any complications during delivery. Magnetic resonance imaging (MRI) of brachial plexus showed postganglionic injury with musculoskeletal abnormalities. The child underwent surgical repair of the plexus and is on physical rehabilitation. In this case report, we discuss the utility of a single MRI examination with an elaborate discussion on various MRI signs of brachial plexus injury including secondary musculoskeletal manifestations. The case reiterates the significance of two-in-one approach while imaging these cases with MRI. Apart from reporting the damage to the brachial plexus, the radiologist should actively search for glenohumeral dysplasia. Awareness of classification and assessment of glenohumeral dysplasia should be routinely included as an integral part of imaging report as it adds incremental value to the overall patient management and functional outcome. Medknow Publications & Media Pvt Ltd 2018-08-24 /pmc/articles/PMC6118109/ /pubmed/30197829 http://dx.doi.org/10.4103/jcis.JCIS_26_18 Text en Copyright: © 2018 Journal of Clinical Imaging Science http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Dsouza, Ajay Prashanth
Tandon, Sachin
Gundogan, Munire
Abdalla, Abdalla Ali
Adding Value to the Magnetic Resonance Examination in a Case of Brachial Plexus Birth Palsy
title Adding Value to the Magnetic Resonance Examination in a Case of Brachial Plexus Birth Palsy
title_full Adding Value to the Magnetic Resonance Examination in a Case of Brachial Plexus Birth Palsy
title_fullStr Adding Value to the Magnetic Resonance Examination in a Case of Brachial Plexus Birth Palsy
title_full_unstemmed Adding Value to the Magnetic Resonance Examination in a Case of Brachial Plexus Birth Palsy
title_short Adding Value to the Magnetic Resonance Examination in a Case of Brachial Plexus Birth Palsy
title_sort adding value to the magnetic resonance examination in a case of brachial plexus birth palsy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6118109/
https://www.ncbi.nlm.nih.gov/pubmed/30197829
http://dx.doi.org/10.4103/jcis.JCIS_26_18
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