MR imaging of disorders of the brachial plexus

Bilbey, James H.; Lamond, Rod G.; Mattrey, Robert F.

doi:10.1002/jmri.1880040106

Cited by 44 publications

(17 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although large metastatic tumors involving the BP may be palpable, they often present in "silent" regions such as the axillary apex, the retroclavicular area, the neural foramina, the paravertebral gutter or as an infiltrative process to the adjacent fat and the perineural sheath [13]. CT and MR imaging are frequently positive in patients with palpable masses [14][15][16], but the absence of a palpable mass creates a greater diagnostic challenge.…”

Section: Discussionmentioning

confidence: 99%

MR imaging of brachial plexopathy in breast cancer patients without palpable recurrence

et al. 1999

Self Cite

View full text Add to dashboard Cite

MR imaging demonstrated masses involving the BP representing metastases in two patients. Nine patients had other regional abnormalities with a normal brachial plexus. It is concluded that MR imaging is useful in the assessment and direction of therapy of brachial plexopathy in breast cancer patients by detecting both metastases to the BP as well as other abnormalities, unrelated to the BP, which may explain the patient's symptoms.

show abstract

Section: Discussionmentioning

confidence: 99%

MR imaging of brachial plexopathy in breast cancer patients without palpable recurrence

et al. 1999

Self Cite

View full text Add to dashboard Cite

show abstract

“…Bilbey et al (23) reported that delayed radiation injury or fibrosis were usually isointense or hypointense relative to …”

Section: Discussionmentioning

confidence: 99%

Radiation-induced Brachial Plexus Injury After Radiotherapy for Nasopharyngeal Carcinoma

Yang

Huang²,

Xiao

et al. 2014

Japanese Journal of Clinical Oncology

View full text Add to dashboard Cite

Objective: Radiation-induced brachial plexus injury is a devastating complication that occurs after radiotherapy in the vicinity of the brachial plexus. Nasopharyngeal carcinoma, the most common type of cancer in Guangdong Province, is primarily treated with radiotherapy with subsequent side effects. However, radiation-induced brachial plexus injury is rarely reported in nasopharyngeal carcinoma. To draw attention to this correlation, we analyzed the clinical characteristics including the imaging findings of 10 patients suffering from radiation-induced brachial plexus injury for nasopharyngeal carcinoma. Methods: We considered the patients' medical histories, analyzed their clinical characteristics, and monitored the long-term efficacy of treatment. Results: The total irradiation dose of the nasopharynx ranged from 66.6 to 74 Gy, and that of the supraclavicular fossa ranged from 60 to 70 Gy. The mean latency was 8.2 + 5.5 years. Seven patients initially complained of bilateral weakness, and three patients complained of isolated pain. The injuries of eight patients reached Grade 3 or worse. Magnetic resonance imaging showed a low signal on T 1 -weighted images and a high signal on short tau inversion recovery sequences in all cases. Swollen nerve fibers were clearly displayed in magnetic resonance diffusion tensor imaging. Electromyography showed myokymia in three patients. With conservative therapy, only one patient was temporarily relieved of pain, while the conditions of others were not ameliorated. Conclusions: Radiation-induced brachial plexus injury is a late but catastrophic complication in patients with nasopharyngeal carcinoma. Clinicians should be aware of radiation-induced brachial plexus injury when deciding on treatment and should give them regular follow-up post radiotherapy.

show abstract

“…Common causes of brachial plexopathy include trauma, neoplastic infiltration, neuralgic amyotrophy, delayed radiation injury and thoracic outlet syndrome. Bilbey et al showed that MRI is 63% sensitive and 100% specific in demonstrating the abnormality of the brachial plexus in a diverse patient population (Bilbey et al, 1994). When plexopathy is caused by a mass lesion, MRI can often determine whether the mass is intrinsic or extrinsic to the plexus.…”

Section: Plexopathymentioning

confidence: 99%