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KMID : 0860920200220020095
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Journal of the Korean Association EMG-Electrodiagnostic Medicine
2020 Volume.22 No. 2 p.95 ~ p.99
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The Successful Treatment of Combined Local and Systemic Steroids in a Patient with Brachial Plexus Neuritis: A Case report
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Lee Hyun-Sung
Kim Chang-Beom
Kim Eun-Suk
Kim Myeong-Ok
Joa Kyung-Lim
Park Chan-Hyuk
Kim Chang-Hwan
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Abstract
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Brachial plexus neuritis (BPN), also known as Parsonage-Turner syndrome, is an uncommon neurological disorder that can manifest with acute extreme upper arm pain followed by patchy muscle paralysis. There is no evidence supporting any recommended treatments for BPN from randomized trials. Non-randomized studies have supported the effectiveness of early administration of high-dose oral corticosteroids during the painful phase. We present a case of a 41-year-old-female with a history of acute left lateral shoulder pain and shoulder girdle weakness who was diagnosed with acute BPN. To reduce the risk of complications arising from high-dose oral steroid administration, we used an ultrasound-guided brachial plexus blockade combined with low-dose oral steroids. The combined treatment approach successfully restored shoulder function and effectively alleviated pain while avoiding complications associated with systemic steroid administration.
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KEYWORD
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Brachial plexus neuritis, Interventional ultrasonography, Steroid
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