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Imaging is frequently restricted to the brachial plexus and shoulder. However, involvement of distal arm nerves and muscles is common. This study aims to explore imaging findings in patients with NA by utilizing MRN of both the plexus and the associated limb.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients with NA who underwent MRN of the upper extremity between January 2017 and February 2026 were retrospectively identified. A\u00a0total of 35\u00a0consecutive patients were enrolled, and their clinical features were reviewed. Two experienced neuroradiologists assessed the MRN images for the presence of nerve lesions and muscle edema. Associations between nerve lesions and muscle edema were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In 35\u00a0patients (median age\u00a046\u00a0years, 12\u00a0female; median onset-to-MRN 141 days), MRN revealed plexus (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u200928) and terminal branch-level (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u200920) abnormalities. Muscle edema was observed in 26\u00a0patients. Correlation analysis revealed significant associations between nerve lesions and edema; specifically, suprascapular lesions were associated with edema in the corresponding muscles. Further significant correlations were identified for the median, radial, musculocutaneous, and axillary nerves.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>NA is a\u00a0multifocal neuropathy involving the brachial plexus and distal peripheral nerves. Limiting imaging to the plexus alone carries the risk of missing pathological findings. This study presents a\u00a0single-center experience with an MRN approach that is sensitive in detecting both nerve lesions and muscle edema of the plexus and the associated limb.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00062-026-01733-6","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T17:36:21Z","timestamp":1791826581000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Detection of Brachial Plexus and Extraplexal Involvement in Neuralgic Amyotrophy Using MR Neurography: a\u00a0Single-Center Retrospective Study"],"prefix":"10.1007","author":[{"given":"Stefan","family":"Sondermann","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katharina","family":"Fieseler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3434-0295","authenticated-orcid":false,"given":"Peter","family":"Trillenberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3245-7692","authenticated-orcid":false,"given":"Peter","family":"Schramm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Boppel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"issue":"6513","key":"1733_CR1","doi-asserted-by":"publisher","first-page":"973","DOI":"10.1016\/S0140-6736(48)90611-4","volume":"251","author":"MJ Parsonage","year":"1948","unstructured":"Parsonage\u00a0MJ, Turner\u00a0AT. 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