Dsouza Ajay Prashanth, Tandon Sachin, Gundogan Munire, Abdalla Abdalla Ali
Department of Diagnostic Imaging, Al Jalila Children's Hospital, Dubai, UAE.
Department of Pediatric Neurology, Al Jalila Children's Hospital, Dubai, UAE.
J Clin Imaging Sci. 2018 Aug 24;8:38. doi: 10.4103/jcis.JCIS_26_18. eCollection 2018.
We report a case of brachial plexus birth palsy in an infant with the inability to move the left upper limb since birth. There was neither history of birth trauma nor any complications during delivery. Magnetic resonance imaging (MRI) of brachial plexus showed postganglionic injury with musculoskeletal abnormalities. The child underwent surgical repair of the plexus and is on physical rehabilitation. In this case report, we discuss the utility of a single MRI examination with an elaborate discussion on various MRI signs of brachial plexus injury including secondary musculoskeletal manifestations. The case reiterates the significance of two-in-one approach while imaging these cases with MRI. Apart from reporting the damage to the brachial plexus, the radiologist should actively search for glenohumeral dysplasia. Awareness of classification and assessment of glenohumeral dysplasia should be routinely included as an integral part of imaging report as it adds incremental value to the overall patient management and functional outcome.
我们报告一例婴儿臂丛神经产瘫病例，该婴儿自出生以来左上肢无法活动。既无出生时的创伤史，分娩过程中也未出现任何并发症。臂丛神经的磁共振成像（MRI）显示节后损伤伴有肌肉骨骼异常。患儿接受了臂丛神经的手术修复，目前正在进行物理康复治疗。在本病例报告中，我们讨论了单次MRI检查的效用，并详细讨论了臂丛神经损伤的各种MRI征象，包括继发性肌肉骨骼表现。该病例重申了在使用MRI对这些病例进行成像时采用二合一方法的重要性。除了报告臂丛神经的损伤外，放射科医生还应积极寻找盂肱关节发育不良。对盂肱关节发育不良的分类和评估的认识应常规纳入成像报告的组成部分，因为它可为整体患者管理和功能结局增加额外价值。
