Meningitis with Ependymitis, Choroid Plexitis
& Communicating Hydrocephalus
Smoking, prior intestinal resection, penetrating disease behavior, perianal disease, extensive bowel disease (>50 cm), preoperative corticosteroid use, postoperative immunomodulatory or biologic medical treatment, the presence of granulomas, myenteric plexitis
, and fecal calprotectin have been found to be risk factors for POR (1,2,4,7-9).
1,2) Though NA is also known as Parsonage-Turner syndrome, it may additionally be referred to as acute brachial neuritis, acute brachial plexitis
, acute brachial neuropathy, Kiloh-Nevin syndrome, brachial plexus neuropathy, idiopathic brachial plexopathy, idiopathic brachial neuritis, localized neuritis of the shoulder girdle, multiple neuritis of the shoulder girdle, paralytic brachial neuritis, serum neuritis, shoulder girdle neuritis, or shoulder girdle syndrome.
Spontaneous brachial plexitis
, also known as Parsonage Turner Syndrome, typically presents with the constellation of spontaneous acute severe burning shoulder pain, subsequent sensory disturbance, and delayed weakness and atrophy.
In our case, the diagnosis of a brachial plexitis
secondary to HZ was established based on the development of weakness following the occurrence of herpetic skin lesions on the left shoulder, findings from the cervical, cranial, and left shoulder MRI, a failure to explain the weakness in the left arm, and demonstration of the involvement of the upper and middle trunks of the brachial plexus in the left shoulder.
Arias et al (5) described a patient affected by severe RA suffering from brachial plexitis
who was successfully treated with infliximab.
Idiopathic brachial plexitis
after total shoulder replacement with interscalene brachial plexus block.