Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 4 Issue 1

Radiation-Induced Brachial Plexopathy. Two Case Revision

Julio Cesar Sánchez Hernández1,Pedro Vicente Fuentes Escobar2*,Laura Valentina Greco Bermúdez3, Pedro Tomas Jerez Garcia1 and Maria Fernanda Sánchez de la Fuente3

1Clinical Neurophysiology Service, Electromyography Unit, Hospital General Universitario de Alicante, Alacant, Spain
2Orthopaedics Service, Umivale, Mutua Colaboradora Con La Seguridad Social N 15, Valence, Spain
3Pathological Anatomy Service, Head and Neck Unit, Hospital General Universitario de Alicante, Alacant, Spain

*Corresponding Author: Pedro Vicente Fuentes Escobar, Orthopaedics Service, Umivale, Mutua Colaboradora Con La Seguridad Social N 15, Valence, Spain.

Received: November 17, 2020; Published: December 10, 2020



Introduction: The brachial plexus is a complex anatomical structure formed by the lower cervical and upper thoracic nerve roots. In case of suspected brachial plexopathy, nerve conduction and electromyography studies are often used to locate the lesion and assess its severity.

Clinical Case: There are two clinical cases, the first of a 70-year-old male patient with a history of a squamous oropharynx adenocarcinoma with cervical lymph node metastasis, treated by surgery, chemotherapy and radiotherapy, and the second case, a 70-year-old woman undergoing a radical right mastectomy following breast cancer, treated with chemotherapy, radiotherapy and hormonotherapy. In both cases, patients developed a late-onset brachial plexopathy in relation to the treatment. Radiotherapy-induced brachial plexopathy has been described as a rare complication. It is usually debuted with paresthesias rather than pain and usually associates amyotrophy. Radiation-induced plexopathies appear to affect the upper and middle trunk of the brachial plexus in greater proportion, being unusual to affect the lower trunk.

Keywords: Carcinoma; Electroneurography; Electromyography; Neoplasm; Plexopathy; Radiotherapy



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Citation: Pedro Vicente Fuentes Escobar., et al. “Radiation-Induced Brachial Plexopathy. Two Case Revision".Acta Scientific Orthopaedics 4.1 (2021): 14-18.


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