A successful treatment of idiopathic brachial neuritis with sono-guided injection and low dose steroid therapy

초록

The pathophysiology of idiopathic neuralgic amyotrophy (INA) has been presumed to be localized inflammatory immune process in brachial plexus. Persistent pain and weakness remain in about 20% of INA patients without treatment. Up to now, high dose oral corticosteroid therapy is conventionally used for the treatment of INA. This would help control systemic inflammation, but about 20% of patients has experienced systemic side effects. Therefore, we intended to modulate therapeutic approach to be locally active by performing ultrasound-guided brachial plexus and cervical root block with reduced the dose of steroid. The purpose of this therapy is to improve functional recovery with effective pain control and reduce systemic side effects of steroid