The role of magnetic resonance imaging in the diagnosis of brachial plexopathy in a COVID-19 patient

Abstract

Severe COVID-19 infection can lead to acute respiratory distress syndrome (ARDS) requiring intensive care admission. Mechanically ventilated patients are commonly managed by being positioned in a prone ‘swimmer’s position’. However, this position can lead to a variety of potential complications not related to the illness, including stretching of the brachial plexus resulting in nerve damage. Brachial plexopathy is an important consideration in all patients stepped down from prolonged prone ventilation. This is to prevent possible long-term numbness and weakness in the affected arm which may require intensive physiotherapy. The role of magnetic resonance imaging is particularly useful in visualizing the brachial plexus and providing an accurate diagnosis. Early recognition and prompt imaging is recommended to reduce the incidence and severity of brachial plexopathy, particularly in the wake of a second COVID-19 wave. We report a case of brachial plexopathy in a 54-year-old male following intensive care admission and the relevant MRI protocol and findings which highlight this pathology.