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NEUROLOGY 2005;64:530-532
© 2005 American Academy of Neurology
Brief Communications

Radiculoplexopathy with conduction block caused by acute Epstein-Barr virus infection

Steve Vucic, FRACP, William Palmer, MD and Didier Cros, MD

From the Departments of Neurology (Drs. Vucic and Cros) and Radiology (Dr. Palmer), Massachusetts General Hospital, Boston.

Address correspondence and reprint requests to Dr. Didier Cros, Department of Neurology, Bigelow 1256, MA General Hospital, 55 Fruit St., Boston, MA, 02114; e-mail: dcros{at}partners.org

The authors report a case of cervicobrachial radiculoplexopathy with proximal conduction block (CB), associated with acute Epstein-Barr virus (EBV) infection. The patient presented with pain, paresthesias, and monomelic weakness in the left C7–8, and T1 myotomes. The illness was monophasic with rapid recovery. Neurophysiologic studies demonstrated CB in the proximal left median and ulnar nerve segments. The authors conclude that this syndrome resulted from a postinfectious process following acute EBV infection.

Received March 8, 2004. Accepted in final form September 15, 2004.




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