Brachial neuritis: investigations

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Brachial neuritis: investigations. Focal or diffuse nerve/fascicle enlargement, Fascicular entwinement. Fully referenced neurology checklist.

High resolution ultrasound: features

  • Focal or diffuse nerve/fascicle enlargement
  • Fascicular entwinement 
  • Nerve constriction: this may give the hourglass appearance

Magnetic resonance imaging (MRI)

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Nerve conduction studies (NCS)

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Positron emission tomography (PET) scan

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Synonyms

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References

  1. ArÁnyi Z, Csillik A, DéVay K, et al. Ultrasonography in neuralgic amyotrophy: Sensitivity, spectrum of findings, and clinical correlations. Muscle Nerve 2017; doi: 10.1002/mus.25708 (Epub ahead of print).
  2. Arányi Z, Csillik A, Dévay K, et al. Ultrasonographic identification of nerve pathology in neuralgic amyotrophy: Enlargement, constriction, fascicular entwinement, and torsion. Muscle Nerve 2015; 52:503-511. 
  3. Shi F, Zhou X, Li X. Neuralgic amyotrophy with multiple hourglass-like constrictions of anterior interosseous nerve: a case report. Front Neurol 2024; 15:1306264.
  4. Lieba-Samal D, Jengojan S, Kasprian G, Wöber C, Bodner G. Neuroimaging of classic neuralgic amyotrophy. Muscle Nerve 2016; 54:1079-1085.
  5. Sneag DB, Saltzman EB, Meister DW, Feinberg JH, Lee SK, Wolfe SW.  MRI bullseye sign: An indicator of peripheral nerve constriction in parsonage-turner syndrome. Muscle Nerve 2017; 56:99-106. 
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