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Journal of Neurology and Neurorehabilitation Research | Volume 4
November 04-05, 2019 | Melbourne, Australia
Neurology and Neurological Disorders
19
th
International Conference on
J Neurol Neurorehabil Res, Volume 4
Post-operative emergence of acute Brachial Neuritis following Posterior Cervical
Laminectomy with fusion
Raj H. Patel
and
Rishi Sheth
University of South Florida, USA
I
diopathic brachial plexus neuritis or neuralgic amyotrophy is
a rare neurological condition whose true etiology currently
remains unknown. Epidemiologically, the incidence of this
condition is exceptionally rare with only 1.6 cases for every
100,000 people15. Symptoms present an initial acute and
sudden pain to the shoulder girdle and upper arm which is
followed by a sense of profound weakness and numbness to
the upper arm10. Localized neuropathy within the arm-pit
region may also be presented. The pain often exacerbates
upon movement of the shoulder. Due to the anatomic
location affected and the nature of the clinical symptoms
presented, accurate diagnosis of brachial plexus neuritis poses
a challenging diagnostic task for physicians due to remarkably
similar symptoms expressed by differential diagnoses.
Here, we report the case of a 55-year-old woman who
underwent surgery entailing cervical laminectomy with
instrumented fusion. She presented with postoperative
symptoms of severe pain in the left arm with significant
weakness within 24 hours after surgery. A diagnosis of brachial
plexus neuritis was made based on the symptoms presented
and upon reviewof imaging scans. After a six-month follow-up
visit, the patient recovered from the brachial neuritis but has
residual numbness in the hand. The presentation of this case
serves to transmit three fundamental purposes. First, this case
servestoestablishanintriguingpossibleassociationofthepost-
surgical period of cervical laminectomy with acute brachial
neuritis and signifies the importance post-operative linkage
withbrachialneuritisingeneral.Second,thiscasealsohighlights
the importance of close clinical monitoring of patients with
unique symptoms within the postoperative follow-up period
to ensure successful improvement and accurate diagnosis.
Third, as an underdiagnosed and relatively obscure condition,
this case serves as an imperative reference for physicians
to illuminate differential diagnosis of similar symptomatic
conditions and also to promote knowledge of brachial plexus
neuritis which can lead to an early and precise diagnosis.
e
:
rajp1@mail.usf.edu