Pseudomeningocele From Brachial Plexus Root Avulsion

Abstract

We report a case of a 42-year-old male involved in a motor vehicle accident. Initial MRI revealed T2 hypo-intensity of the anterior cord at the C6 level of the cervical spine which raised significant discussions within the neurosurgical, radiology and ICU departments at our institution. After careful review of images and patient’s clinical examination we suspected root avulsion of the brachial plexus. Subsequent MRI brachial plexus showed a large axillary pseudomeningocele originating from the C5-T2 nerve roots. Our team concluded the patient suffered a complete brachial plexus injury from right lateral hyperflexion as extrapolated from his injuries. The aim of this report is to highlight the uncommon condition and report of key clinical findings and management strategies.