Brachial plexopathy: radiotherapy versus tumour differentiation

Evidence-based neurology checklist on brachial plexopathy: radiotherapy versus tumour differentiation: Clinical differentiation: features suggesting radiation Radiotherapy-induced more often affects the upper trunk It is associated with less pain Horner’s syndrome is less frequent It has a longer…

Clinical differentiation: features suggesting radiation

  • Radiotherapy-induced more often affects the upper trunk
  • It is associated with less pain
  • Horner’s syndrome is less frequent
  • It has a longer delay before onset
  • There are no tumours on imaging
  • It more often involves the upper trunk of the brachial plexus
  • There is no lymphoedema
  • There are no cutaneous radiation changes

EMG differentiation: features suggesting radiation

References

  1. Antoine JC, Camdessanche JP. Peripheral nervous system involvement in patients with cancer. Lancet Neurol 2007; 6:75-86.
  2. Gosk J, Rutowski R, Reichert P, Rabczyński J. Radiation-induced brachial plexus neuropathy - aetiopathogenesis, risk factors, differential diagnostics, symptoms and treatment. Folia Neuropathol 2007; 45:26-30.

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