Annals of Clinical Neurophysiology

The Korean Society of Clinical Neurophysiology (대한임상신경생리학회)
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A case of Idiopathic Bilateral Brachial Neuritis Involving the Bilateral Phrenic Nerves

양측 횡격막신경을 침범한 원인불명의 양측 상완신경염 1예

  • Kwak, Jae-Hyuk (Department of Neurology, School of Medicine, Catholic University of Daegu) ;
  • Lee, Dong-Kuck (Department of Neurology, School of Medicine, Catholic University of Daegu) ;
  • Kwon, Oh-Dae (Department of Neurology, School of Medicine, Catholic University of Daegu)
  • 곽재혁 (대구가톨릭대학교 의과대학 신경과학교실) ;
  • 이동국 (대구가톨릭대학교 의과대학 신경과학교실) ;
  • 권오대 (대구가톨릭대학교 의과대학 신경과학교실)
  • Published : 2005.05.31
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Abstract

Bilateral brachial neuritis is clinically uncommon and accidentally involvement of bilateral phrenic nerves is rarely reported. We experienced a 26 year old man who developed subacute onset of asymmetric bilateral shoulder and arm weakness. The weakness slowly aggravated and finally suffered from dyspnea due to bilateral phrenic nerve palsy. Cervical spine MRI and CSF study showed no abnormality. Viral markers and other serological test showed no specific finding. Electromyographic study showed bilateral brachial axonal polyneuropathy with cervical and upper thoracic polyradiculopathy. And bilateral phrenic nerve conduction study showed no resopnse. He showed no improvement for 10 months after treatment and managed with continuous artificial ventilation. We report a case of idiopathic bilateral brachial neuritis accidentally involving bilateral phrenic nerves.

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