# Magnetic Resonance Imaging of Radiation-Induced Brachial Plexopathy

**Authors:** Neha D Shetty, Rajasbala Dhande, Pratapsingh Parihar, Nikita Bora

PMC · DOI: 10.7759/cureus.60067 · Cureus · 2024-05-10

## TL;DR

This case study shows how MRI can help diagnose radiation-induced nerve damage in cancer patients years after treatment.

## Contribution

The paper highlights the diagnostic value of MRI in identifying radiation-induced brachial plexopathy in cancer survivors.

## Key findings

- The patient developed brachial plexopathy eight years after radiation therapy.
- MRI was crucial in diagnosing radiation-induced nerve damage.
- Distinguishing radiation-induced neuropathy from other causes is challenging but vital.

## Abstract

This report illustrates the case of a 37-year-old woman following chemoradiotherapy for invasive ductal carcinoma of the right breast. The patient underwent surgery and received a radiation dose of 50 gray to the chest wall and 45 gray to the regional lymph nodes in 25 total fractions. She developed motor and sensory weakness in the right upper limb eight years after treatment. Brachial plexus neuropathy in cancer patients may result from either trauma to the plexus during surgery, the spread of cancer, or radiation therapy, and distinguishing between them may be difficult. The case highlights the importance of recognizing the signs, symptoms, and possible differential diagnosis of radiation-induced brachial plexopathy in cancer patients post-radiation therapy. It emphasizes the role of magnetic resonance imaging in the careful assessment and diagnosis of such a case.

## Linked entities

- **Diseases:** invasive ductal carcinoma (MONDO:0004953), brachial plexopathy (MONDO:0006683)

## Full-text entities

- **Diseases:** motor and sensory weakness (MESH:D018908), cancer (MESH:D009369), trauma (MESH:D014947), invasive ductal carcinoma of the right breast (MESH:D018270), Brachial Plexopathy (MESH:D020516)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11163868/full.md

## References

11 references — full list in the complete paper: https://tomesphere.com/paper/PMC11163868/full.md

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Source: https://tomesphere.com/paper/PMC11163868