Article

Case of neoplastic brachial plexopathy detected by
musculoskeletal ultrasonography in a patient with chronic cervicobrachialgia.
RESULTS : A 71-year-old man presented at Gulhane Military Medical Academy,
Turkish Armed Forces Rehabilitation Center, Ankara, Turkey with a one-year
history of cervicobrachial pain radiating to the left arm and numbness in the
medial aspect of the left arm and hand. He could not tolerate magnetic resonance
imaging because his pain was exacerbated by cervical extension. Radiographs of
his chest and cervical spine were normal. Ultrasound examination of the left
brachial plexus revealed segmental fusiform swelling, suggestive for a
compressing lesion. Magnetic resonance imaging of the brachial plexus performed
under general anaesthesia revealed a left apical lung tumour (Pancoast)
infiltrating the brachial plexus. CONCLUSION: Clinicians should consider
neoplastic brachial plexopathy, which is an uncommon diagnosis, when evaluating
patients with unrelenting and severe cervicobrachialgia. Musculoskeletal
ultrasonography can be beneficial for examining brachial plexus lesions.

Langue : ANGLAIS