Question 8 in “Clinical Quiz” (November 1, 2000, page 1958), pertaining to the article “Acute Brachial Plexus Neuritis: An Uncommon Cause of Shoulder Pain,” was unclear. The best answer for Question 8 is A; osteophytes are present on radiographic studies. Because it is possible to have a radiculopathy involving multiple root levels, B is a possible correct answer, but it would not be the best response because the situation is extremely unusual. The question is printed below; the correct answer is A.
Q8. Which one of the following conditions makes it difficult to distinguish acute brachial plexus neuritis from cervical radiculopathy?
A. Osteophytes are present on radiographic studies.
B. The radiculopathy involves multiple neurologic levels.
C. There is a long delay between the patient's pain and neurologic deficits.
D. Sensory loss occurs in a single dermatome.
E. There is a history of antecedent trauma.