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[PMID]:29269693
[Au] Autor:Yasuda K; Murase N; Ohtani R; Oka N; Nakamura M
[Ad] Endereço:Department of Neurology, National Hospital Organization Kyoto Medical Center.
[Ti] Título:[A case of chronic inflammatory demyelinating polyradiculoneuropathy, showing radicular pain due to tuberous hypertrophy of the spinal roots and plexuses after 20 years interval without relapsing sensorimotor symptoms].
[So] Source:Rinsho Shinkeigaku;58(1):21-24, 2018 Jan 26.
[Is] ISSN:1882-0654
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:A 40-year-old man visited our department because of chest and back pain. He had a history of diagnosis of chronic inflammatory demyelinating polyneuropathy (CIDP) 20 years ago. He received immunosuppressive therapy and had no relapses after that. On Admission, MRI showed tuberous hypertrophy of the spinal roots, intercostal nerves, and brachial and lumbar plexuses. The genetic analysis showed no mutations in any of Charcot-Marie-Tooth related genes. He was finally diagnosed with CIDP and administration of high dose intravenous methylprednisolone relieved his chest and back pain within a few days. We present a rare case of CIDP in which showed marked enlarged spinal roots in long clinical course and have a relapse with radicular pain without sensorimotor symptoms.
[Mh] Termos MeSH primário: Dor nas Costas/etiologia
Plexo Braquial/patologia
Dor no Peito/etiologia
Polirradiculoneuropatia Desmielinizante Inflamatória Crônica/complicações
Raízes Nervosas Espinhais/patologia
[Mh] Termos MeSH secundário: Adulto
Dor nas Costas/tratamento farmacológico
Plexo Braquial/diagnóstico por imagem
Dor no Peito/tratamento farmacológico
Seres Humanos
Hipertrofia
Infusões Intravenosas
Imagem por Ressonância Magnética
Masculino
Metilprednisolona/administração & dosagem
Polirradiculoneuropatia Desmielinizante Inflamatória Crônica/diagnóstico por imagem
Polirradiculoneuropatia Desmielinizante Inflamatória Crônica/tratamento farmacológico
Polirradiculoneuropatia Desmielinizante Inflamatória Crônica/patologia
Pulsoterapia
Raízes Nervosas Espinhais/diagnóstico por imagem
Fatores de Tempo
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
X4W7ZR7023 (Methylprednisolone)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171223
[St] Status:MEDLINE
[do] DOI:10.5692/clinicalneurol.cn-001073


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[PMID]:28455452
[Au] Autor:Collins BW; Gale LH; Buckle NCM; Button DC
[Ad] Endereço:Human Neurophysiology Laboratory, School of Human Kinetics and Recreation, Newfoundland and Labrador Canada.
[Ti] Título:Corticospinal excitability to the biceps brachii and its relationship to postactivation potentiation of the elbow flexors.
[So] Source:Physiol Rep;5(8), 2017 Apr.
[Is] ISSN:2051-817X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:We examined the effects of a submaximal voluntary elbow flexor contraction protocol on measures of corticospinal excitability and postactivation potentiation of evoked muscle forces and if these measures were state-dependent (rest vs. voluntary muscle contraction). Participants completed four experimental sessions where they rested or performed a 5% maximum voluntary contraction (MVC) of the elbow flexors prior to, immediately, and 5 min following a submaximal contraction protocol. During rest or 5% MVC, transcranial magnetic stimulation, transmastoid electrical stimulation, electrical stimulation of biceps brachii motor point and Erb's point were elicited to induce motor-evoked potentials (MEPs), cervicomedullary MEPs (CMEPs), potentiated twitch (PT) force, and maximal muscle compound action potential ( ), respectively prior to, immediately, and 5 min postcontraction protocol. MEP amplitudes increased (215 and 165%M , ≤ 0.03) only at 1 and 6s postcontraction protocol, respectively during rest but not 5% MVC CMEP amplitudes decreased during rest and 5% MVC (range:21-58% , ≤ 0.04) for up to 81 sec postcontraction protocol. Peak twitch force increased immediately postcontraction protocol and remained elevated for 90 sec (range:122-147% increase, < 0.05). There was a significant positive correlation between MEP and PT force during rest ( = 0.88, = 0.01) and a negative correlation between CMEP and PT force during rest ( = -0.85, < 0.02 and 5% MVC ( = -0.96, < 0.01) immediately postcontraction protocol. In conclusion, the change in corticospinal and spinal excitability was state- and time-dependent whereas spinal excitability and postactivation potentiation were time-dependent following the contraction protocol. Changes in corticospinal excitability and postactivation potentiation correlated and were also state-dependent.
[Mh] Termos MeSH primário: Plexo Braquial/fisiologia
Articulação do Cotovelo/fisiologia
Músculo Esquelético/fisiologia
Tratos Piramidais/fisiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Estimulação Elétrica/métodos
Eletromiografia/métodos
Potencial Evocado Motor/fisiologia
Seres Humanos
Masculino
Contração Muscular/fisiologia
Treinamento de Resistência
Medula Espinal/fisiologia
Estimulação Magnética Transcraniana/métodos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180212
[Lr] Data última revisão:
180212
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170430
[St] Status:MEDLINE


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[PMID]:29298304
[Au] Autor:Hruby LA; Pittermann A; Sturma A; Aszmann OC
[Ad] Endereço:Christian Doppler Laboratory for Restoration of Extremity Function, Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.
[Ti] Título:The Vienna psychosocial assessment procedure for bionic reconstruction in patients with global brachial plexus injuries.
[So] Source:PLoS One;13(1):e0189592, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Global brachial plexopathies cause major sensory and motor deficits in the affected arm and hand. Many patients report of psychosocial consequences including chronic pain, decreased self-sufficiency, and poor body image. Bionic reconstruction, which includes the amputation and prosthetic replacement of the functionless limb, has been shown to restore hand function in patients where classic reconstructions have failed. Patient selection and psychological evaluation before such a life-changing procedure are crucial for optimal functional outcomes. In this paper we describe a psychosocial assessment procedure for bionic reconstruction in patients with complete brachial plexopathies and present psychosocial outcome variables associated with bionic reconstruction. METHODS: Between 2013 and 2017 psychosocial assessments were performed in eight patients with global brachial plexopathies. We conducted semi-structured interviews exploring the psychosocial adjustment related to the accident, the overall psychosocial status, as well as motivational aspects related to an anticipated amputation and expectations of functional prosthetic outcome. During the interview patients were asked to respond freely. Their answers were transcribed verbatim by the interviewer and analyzed afterwards on the basis of a pre-defined item scoring system. The interview was augmented by quantitative evaluation of self-reported mental health and social functioning (SF-36 Health Survey), body image (FKB-20) and deafferentation pain (VAS). Additionally, psychosocial outcome variables were presented for seven patients before and after bionic reconstruction. RESULTS: Qualitative data revealed several psychological stressors with long-term negative effects on patients with complete brachial plexopathies. 88% of patients felt functionally limited to a great extent due to their disability, and all of them reported constant, debilitating pain in the deafferented hand. After bionic reconstruction the physical component summary scale increased from 30.80 ± 5.31 to 37.37 ± 8.41 (p-value = 0.028), the mental component summary scale improved from 43.19 ± 8.32 to 54.76 ± 6.78 (p-value = 0.018). VAS scores indicative of deafferentation pain improved from 7.8 to 5.6 after prosthetic hand replacement (p-value = 0.018). Negative body evaluation improved from 60.71 ± 12.12 to 53.29 ± 11.03 (p-value = 0.075). Vital body dynamics increased from 38.57 ± 13.44 to 44.43 ± 16.15 (p-value = 0.109). CONCLUSIONS: Bionic reconstruction provides hope for patients with complete brachial plexopathies who have lived without hand function for years or even decades. Critical patient selection is crucial and the psychosocial assessment procedure including a semi-structured interview helps identify unresolved psychological issues, which could preclude or delay bionic reconstruction. Bionic reconstruction improves overall quality of life, restores an intact self-image and reduces deafferentation pain.
[Mh] Termos MeSH primário: Biônica
Plexo Braquial/lesões
Reabilitação/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180206
[Lr] Data última revisão:
180206
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180104
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0189592


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[PMID]:29236823
[Au] Autor:Foroni L; Siqueira MG; Martins RS; Heise CO; Sterman H; Imamura AY
[Ad] Endereço:Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Divisão de Neurocirurgia Funcional, Grupo de Cirurgia de Nervos Periféricos. São Paulo SP, Brasil.
[Ti] Título:Good sensory recovery of the hand in brachial plexus surgery using the intercostobrachial nerve as the donor.
[So] Source:Arq Neuropsiquiatr;75(11):796-800, 2017 Nov.
[Is] ISSN:1678-4227
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Restoration of the sensitivity to sensory stimuli in complete brachial plexus injury is very important. The objective of our study was to evaluate sensory recovery in brachial plexus surgery using the intercostobrachial nerve (ICBN) as the donor. METHODS: Eleven patients underwent sensory reconstruction using the ICBN as a donor to the lateral cord contribution to the median nerve, with a mean follow-up period of 41 months. A protocol evaluation was performed. RESULTS: Four patients perceived the 1-green filament. The 2-blue, 3-purple and 4-red filaments were perceptible in one, two and three patients, respectively. According to Highet's scale, sensation recovered to S3 in two patients, to S2+ in two patients, to S2 in six patients, and S0 in one patient. CONCLUSION: The procedure using the ICBN as a sensory donor restores good intensity of sensation and shows good results in location of perception in patients with complete brachial plexus avulsion.
[Mh] Termos MeSH primário: Plexo Braquial/lesões
Plexo Braquial/cirurgia
Mãos/cirurgia
Nervos Intercostais/transplante
Transferência de Nervo/métodos
[Mh] Termos MeSH secundário: Adulto
Feminino
Seguimentos
Mãos/fisiologia
Seres Humanos
Masculino
Regeneração Nervosa
Estudos Prospectivos
Recuperação de Função Fisiológica
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180129
[Lr] Data última revisão:
180129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


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[PMID]:29280873
[Au] Autor:Hu CH; Chang TN; Lu JC; Laurence VG; Chuang DC
[Ad] Endereço:Taoyuan, Taiwan From the Department of Plastic Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College and University.
[Ti] Título:Comparison of Surgical Strategies between Proximal Nerve Graft and/or Nerve Transfer and Distal Nerve Transfer Based on Functional Restoration of Elbow Flexion: A Retrospective Review of 147 Patients.
[So] Source:Plast Reconstr Surg;141(1):68e-79e, 2018 01.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Surgical strategy to treat incomplete brachial plexus injury with palsies of the shoulder and elbow by using proximal nerve graft/transfer or distal nerve transfer is still debated. The aim of this study was to compare both strategies with respect to the recovery of elbow flexion. METHODS: One hundred forty-seven patients were enrolled: 76 patients underwent reconstruction using proximal nerve graft/transfer, and 71 patients underwent reconstruction using distal nerve transfer. All patients were evaluated preoperatively and postoperatively to assess the recovery rate and muscle strength of elbow flexion. Shoulder abduction and hand grip power were also recorded to assess any concomitant postoperative changes between the two methods. RESULTS: The best recovery rate for functional elbow flexion (p = 0.006) and the fastest recovery to M3 strength (p < 0.001) were found in the double fascicular transfer group. However, recovery of shoulder abduction with proximal nerve graft/transfer was significantly better than with distal nerve transfer (80.3 percent versus 66.2 percent in shoulder abduction ≥60 degrees; and 56.6 percent versus 38.0 percent in shoulder abduction ≥90 degrees). A significant decrease in grip strength between the operative and nonoperative hands was also found in patients undergoing distal nerve transfer (p = 0.001). CONCLUSIONS: Proximal nerve graft/transfer offers more accurate diagnosis and proper treatment to restore shoulder and elbow function simultaneously. Distal nerve transfer can offer more efficient elbow flexion. Combined, both strategies in primary nerve reconstruction are especially recommended when there is no healthy or not enough donor nerve available. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.
[Mh] Termos MeSH primário: Plexo Braquial/lesões
Articulação do Cotovelo/fisiologia
Transferência de Nervo
Traumatismos dos Nervos Periféricos/cirurgia
Amplitude de Movimento Articular
[Mh] Termos MeSH secundário: Adulto
Plexo Braquial/cirurgia
Feminino
Seguimentos
Força da Mão
Seres Humanos
Masculino
Meia-Idade
Recuperação de Função Fisiológica
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180112
[Lr] Data última revisão:
180112
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003935


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[PMID]:28458390
[Au] Autor:Fukunaga H; Mutoh T; Tatewaki Y; Shimomura H; Totsune T; Terao C; Miyazawa H; Taki Y
[Ad] Endereço:Department of Nuclear Medicine and Radiology, Institute of Development, Aging and Cancer, Tohoku University , Sendai, Japan.
[Ti] Título:Neuro-Myelomatosis of the Brachial Plexus - An Unusual Site of Disease Visualized by FDG-PET/CT: A Case Report.
[So] Source:Am J Case Rep;18:478-481, 2017 May 01.
[Is] ISSN:1941-5923
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND Peripheral or cranial nerve root dysfunction secondary to invasion of the CNS in multiple myeloma is a rare clinical event that is frequently mistaken for other diagnoses. We describe the clinical utility of 18F-fluorodeoxyglucose positron emission tomography (FDG-PET)/CT scanning for diagnosing neuro-myelomatosis. CASE REPORT A 63-year-old woman whose chief complaints were right shoulder and upper extremity pain underwent MRI and 18F-FDG PET/CT scan. MRI revealed a non-specific brachial plexus tumor. 18F-FDG PET/CT demonstrated intense FDG uptake in multiple intramedullary lesions and in the adjacent right brachial plexus, indicating extramedullary neural involvement associated with multiple myeloma, which was confirmed later by a bone marrow biopsy. CONCLUSIONS This is the first reported case of neuro-myelomatosis of the brachial plexus. It highlights the utility of the 18F-FDG PET/CT scan as a valuable diagnostic modality.
[Mh] Termos MeSH primário: Plexo Braquial/diagnóstico por imagem
Mieloma Múltiplo/diagnóstico por imagem
Neoplasias do Sistema Nervoso Periférico/diagnóstico por imagem
Tomografia Computadorizada com Tomografia por Emissão de Pósitrons
[Mh] Termos MeSH secundário: Feminino
Fluordesoxiglucose F18
Seres Humanos
Meia-Idade
Compostos Radiofarmacêuticos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Radiopharmaceuticals); 0Z5B2CJX4D (Fluorodeoxyglucose F18)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171201
[Lr] Data última revisão:
171201
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


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[PMID]:29095317
[Au] Autor:Jia X; Chen C; Chen L; Yu C; Kondo T
[Ad] Endereço:aDepartment of Hand Surgery, Huashan Hospital, Fudan University bKey Laboratory of Hand Reconstruction, Ministry of Health cShanghai Key Laboratory of Peripheral Nerve and Microsurgery dDepartment of Gynecology and Obstetrics, Putuo District Center Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China eDivision of Rare Cancer Research, National Cancer Center Research Institute, Tokyo, Japan.
[Ti] Título:Large malignant granular cell tumor with suprascapular nerve and brachial plexus invasion: A case report and literature review.
[So] Source:Medicine (Baltimore);96(44):e8531, 2017 Nov.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Malignant granular cell tumor is a kind of rare and highly aggressive malignant tumor that commonly occurs in lower extremity, trunk, and peritoneal cavity. Huge malignant granular cell tumor (MGCT) with suprascapular nerve and brachial plexus invasion was extremely rare. PATIENT CONCERNS: We present a special case of a 48-year-old orthopedist who suffered from MGCT. The orthopedist had regarded that he suffered from scapulohumeral periarthritis. DIAGNOSES: The disease was noticed until a painless mass on his right neck was discovered 9 months later. MRI result confirmed a large occupying in axillary fossa, supraclavicular and infraclavicular region. INTERVENTIONS: During the operation, a tumor measuring 22 × 13 × 6 cm with suprascapular nerve and brachial plexus invasion was identified. The tumor was fractional resected carefully to maintain the integrity of nerves and vessels. Lymph nodes were simultaneously resected. OUTCOMES: The motor function and sensation of the upper extremity were same to that of preoperation. The postoperative histological diagnosis was MGCT. At a 12-month follow-up, there was no recurrence of the tumor showed by MRI. LESSONS: This study presents a rare case of large MGCT with suprascapular nerve and brachial plexus invasion that was successfully managed by surgery.
[Mh] Termos MeSH primário: Neoplasias Ósseas/patologia
Plexo Braquial/patologia
Tumor de Células Granulares/patologia
Escápula/patologia
[Mh] Termos MeSH secundário: Neoplasias Ósseas/cirurgia
Plexo Braquial/cirurgia
Tumor de Células Granulares/cirurgia
Seres Humanos
Masculino
Meia-Idade
Invasividade Neoplásica
Procedimentos Neurocirúrgicos/métodos
Escápula/inervação
Escápula/cirurgia
Ombro/inervação
Ombro/cirurgia
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171103
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008531


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[PMID]:28768846
[Au] Autor:van Eijk JJJ; Dalton HR; Ripellino P; Madden RG; Jones C; Fritz M; Gobbi C; Melli G; Pasi E; Herrod J; Lissmann RF; Ashraf HH; Abdelrahim M; Masri OABAL; Fraga M; Benninger D; Kuntzer T; Aubert V; Sahli R; Moradpour D; Blasco-Perrin H; Attarian S; Gérolami R; Colson P; Giordani MT; Hartl J; Pischke S; Lin NX; Mclean BN; Bendall RP; Panning M; Peron JM; Kamar N; Izopet J; Jacobs BC; van Alfen N; van Engelen BGM
[Ad] Endereço:From the Jeroen Bosch Hospital (J.J.J.v.E.), 's-Hertogenbosch, the Netherlands; Royal Cornwall Hospital (H.R.D., R.G.M., C.J., J. Herrod, R.F.L., H.H.A., M.A., O.A.B.A.L.M., B.N.M., R.P.B.); European Centre for the Environment and Human Health (H.R.D., R.P.B.), University of Exeter, Truro, UK; Neuro
[Ti] Título:Clinical phenotype and outcome of hepatitis E virus-associated neuralgic amyotrophy.
[So] Source:Neurology;89(9):909-917, 2017 Aug 29.
[Is] ISSN:1526-632X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To determine the clinical phenotype and outcome in hepatitis E virus-associated neuralgic amyotrophy (HEV-NA). METHODS: Cases of NA were identified in 11 centers from 7 European countries, with retrospective analysis of demographics, clinical/laboratory findings, and treatment and outcome. Cases of HEV-NA were compared with NA cases without evidence of HEV infection. RESULTS: Fifty-seven cases of HEV-NA and 61 NA cases without HEV were studied. Fifty-six of 57 HEV-NA cases were anti-HEV IgM positive; 53/57 were IgG positive. In 38 cases, HEV RNA was recovered from the serum and in 1 from the CSF (all genotype 3). Fifty-one of 57 HEV-NA cases were anicteric; median alanine aminotransferase 259 IU/L (range 12-2,961 IU/L); in 6 cases, liver function tests were normal. HEV-NA cases were more likely to have bilateral involvement (80.0% vs 8.6%, < 0.001), damage outside the brachial plexus (58.5% vs 10.5%, < 0.01), including phrenic nerve and lumbosacral plexus injury (25.0% vs 3.5%, = 0.01, and 26.4% vs 7.0%, = 0.001), reduced reflexes ( = 0.03), sensory symptoms ( = 0.04) with more extensive damage to the brachial plexus. There was no difference in outcome between the 2 groups at 12 months. CONCLUSIONS: Patients with HEV-NA are usually anicteric and have a distinct clinical phenotype, with predominately bilateral asymmetrical involvement of, and more extensive damage to, the brachial plexus. Involvement outside the brachial plexus is more common in HEV-NA. The relationship between HEV and NA is likely to be causal, but is easily overlooked. Patients presenting with NA should be tested for HEV, irrespective of liver function test results. Prospective treatment/outcome studies of HEV-NA are warranted.
[Mh] Termos MeSH primário: Neurite do Plexo Braquial/fisiopatologia
Vírus da Hepatite E
Hepatite E/fisiopatologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Plexo Braquial/diagnóstico por imagem
Plexo Braquial/fisiopatologia
Neurite do Plexo Braquial/diagnóstico por imagem
Neurite do Plexo Braquial/tratamento farmacológico
Neurite do Plexo Braquial/patologia
Europa (Continente)
Feminino
Anticorpos Anti-Hepatite/sangue
Hepatite E/tratamento farmacológico
Hepatite E/patologia
Hepatite E/virologia
Seres Humanos
Imunoglobulina G/sangue
Imunoglobulina M/sangue
Testes de Função Hepática
Masculino
Meia-Idade
Fenótipo
RNA Viral/sangue
RNA Viral/líquido cefalorraquidiano
Estudos Retrospectivos
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Nm] Nome de substância:
0 (Hepatitis Antibodies); 0 (Immunoglobulin G); 0 (Immunoglobulin M); 0 (RNA, Viral)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170804
[St] Status:MEDLINE
[do] DOI:10.1212/WNL.0000000000004297


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[PMID]:28756975
[Au] Autor:Benedikt S; Parvizi D; Feigl G; Koch H
[Ad] Endereço:Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Auenbruggerplatz 29/4, 8036 Graz, Austria. Electronic address: stbenedikt@gmx.at.
[Ti] Título:Anatomy of the medial antebrachial cutaneous nerve and its significance in ulnar nerve surgery: An anatomical study.
[So] Source:J Plast Reconstr Aesthet Surg;70(11):1582-1588, 2017 Nov.
[Is] ISSN:1878-0539
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: During cubital tunnel surgery, the medial antebrachial cutaneous nerve (MACN) may be injured, causing painful scars, neuromas, hypaesthesia or hyperalgesia. As the literature on the anatomy of crossing branches in this area is contradictory, this study aimed to re-examine the anatomy of the MACN in this region. METHODS: Forty upper limbs were dissected. We looked specifically from 5 cm proximal to 6 cm distal to the medial epicondyle (ME) and documented the number of crossing branches and the distances between the crossing points and the ME; we also measured the length of each limb. RESULTS: The most common location for crossing branches was 2 cm distal to the ME. Twenty-seven branches (∼23%) were found proximal to or at the level of the ME, and 91 branches (∼77%) were distal to it. The average distance between the proximal crossing points and the ME was 1.7 cm, the mean number of crossing branches was 0.7 and at least one crossing branch per limb was found in 16/40 cases. For the distal crossing points, the average distance to the ME was 2.9 cm, the mean number of crossing branches was 2.3 and at least one crossing branch per limb was found in all cases. There was no correlation between the limb lengths and the number of crossing branches. CONCLUSION: Because the incidence of posterior branches of the MACN crossing the course of the ulnar nerve is 100%, it is important to take the anatomy of the MACN into consideration when undertaking ulnar nerve surgery.
[Mh] Termos MeSH primário: Plexo Braquial/anatomia & histologia
Cotovelo/inervação
Antebraço/inervação
Procedimentos Neurocirúrgicos/métodos
Nervo Ulnar/anatomia & histologia
[Mh] Termos MeSH secundário: Cadáver
Síndrome do Túnel Ulnar/cirurgia
Feminino
Seres Humanos
Complicações Intraoperatórias/prevenção & controle
Masculino
Traumatismos dos Nervos Periféricos/prevenção & controle
Nervo Ulnar/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170801
[St] Status:MEDLINE


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[PMID]:28652523
[Au] Autor:Nakamura T; Kawarabayashi T; Seino Y; Shoji M
[Ad] Endereço:Department of Neurology, Hirosaki University Graduate School of Medicine.
[Ti] Título:A case of hereditary neuropathy with liability to pressure palsies due to push-up exercise.
[So] Source:Rinsho Shinkeigaku;57(7):383-386, 2017 07 29.
[Is] ISSN:1882-0654
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:A 17-year-old man with no familial history developed motor and sensory disturbance of the left upper limb a few days after starting push-up exercise. Neurological examination revealed broad weakness and radial sensory disturbance of the left upper limb and magnetic resonance neurography showed laterality of brachial plexus intensity signals. Therefore, we suspected left brachial plexopathy. However, a nerve conduction study showed a broad disturbance that could not be explained by only brachial plexopathy. Genetic tests revealed a diagnosis of hereditary neuropathy with liability to pressure palsies (HNPP). HNPP should be included in the differential diagnosis for neuropathy due to slight exercise or nerve compression even when familial history is negative.
[Mh] Termos MeSH primário: Braço/inervação
Braço/fisiologia
Artrogripose/diagnóstico
Artrogripose/genética
Exercício/fisiologia
Neuropatia Hereditária Motora e Sensorial/diagnóstico
Neuropatia Hereditária Motora e Sensorial/genética
[Mh] Termos MeSH secundário: Adolescente
Artrogripose/diagnóstico por imagem
Plexo Braquial/diagnóstico por imagem
Diagnóstico Diferencial
Imagem de Difusão por Ressonância Magnética
Testes Genéticos
Neuropatia Hereditária Motora e Sensorial/diagnóstico por imagem
Seres Humanos
Masculino
Condução Nervosa
Neuroimagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170628
[St] Status:MEDLINE
[do] DOI:10.5692/clinicalneurol.cn-001023



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