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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]:28618294
[Au] Autor:Gruber L; Loizides A; Löscher W; Glodny B; Gruber H
[Ad] Endereço:Department of Radiology, Medical University Innsbruck, Anichstraße 35, Innsbruck, Austria. Electronic address: leonhard.gruber@i-med.ac.at.
[Ti] Título:Focused high-resolution sonography of the suprascapular nerve: A simple surrogate marker for neuralgic amyotrophy?
[So] Source:Clin Neurophysiol;128(8):1438-1444, 2017 Aug.
[Is] ISSN:1872-8952
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To define the diagnostic value of high-resolution ultrasound (HRUS) of the suprascapular nerve (SSN) in the diagnosis of neuralgic amyotrophy (NA). METHODS: The cross-section areas (CSA) of the SSN at the C5 root (CSA1) and the omohyoid muscle in the midclavicular line (CSA2) were assessed bilaterally in 15 healthy volunteers and 14 patients with clinically and electrophysiologically verified NA. Receiver-operator-characteristics (ROC) curves were generated and cut-off values, sensitivity, specificity, positive (PPV) and negative predictive values (NPV), likelihood (LR) and odds ratios (OR) were calculated. RESULTS: Patients with NA had significantly higher CSA2-values than controls (6.36±2.75vs. 2.79±0.83mm , p<0.0001) and significantly higher ratios of SSN CSA2-values of the affected vs. contralateral side (224.6±78.5% vs. 127.7±51.1%, p<0.0001). The ratios of SSN CSA2-values vs. CSA1-values (146.7±74.5% vs. 99.9±28.3%, p=0.008) and CSA1-values were also significantly higher (4.70±2.00vs. 2.90±0.90mm , p=0.0028) than in controls. Beyond a CSA2 cut-off value of 4.2mm , the ROC-AUC was 0.939 [0.861-1.00] when compared against healthy volunteers and 0.971 [0.901-1.00] when compared to patients with degenerative shoulder pain. Sensitivity was 85.7% [57.2-98.2%], specificity 96.7% [82.8-99.9%], PPV 92.3% [64.0-99.8%], NPV 93.5% [78.6-99.2%], OR 174.0 [14.4-2106.0] and LR 25.7 (95% confidence intervals in brackets). CONCLUSION: SSN swelling in the lateral cervical region could be a supportive finding to identify NA patients. SIGNIFICANCE: This method allows for the rapid sonographic identification of NA.
[Mh] Termos MeSH primário: Neurite do Plexo Braquial/diagnóstico por imagem
Plexo Braquial/diagnóstico por imagem
Ultrassonografia/métodos
[Mh] Termos MeSH secundário: Adulto
Neurite do Plexo Braquial/complicações
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Dor de Ombro/diagnóstico por imagem
Dor de Ombro/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170829
[Lr] Data última revisão:
170829
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170616
[St] Status:MEDLINE


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[PMID]:28247042
[Au] Autor:Scanvion Q; Perez T; Cassim F; Outteryck O; Lanteri A; Hatron PY; Lambert M; Morell-Dubois S
[Ad] Endereço:Internal Medicine Department, National Reference Center for Rare Autoimmune Systemic Diseases, FHU IMMINeNT, Medical School Henri Warembourg, Lille University Hospital, 59000, Lille, France. quentin.scanvion@gmail.com.
[Ti] Título:Neuralgic amyotrophy triggered by hepatitis E virus: a particular phenotype.
[So] Source:J Neurol;264(4):770-780, 2017 Apr.
[Is] ISSN:1432-1459
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:The neuralgic amyotrophy may be of difficult diagnosis, due to phenotypic variability, with different initial presentations (upper plexus multiple mononeuropathy, lumbosacral involvement, distal reached, phrenic involvement). To date, there is little guidance on these patients' therapeutic management, especially those for which neuralgic amyotrophy is triggered by hepatitis E virus (HEV-NA). The study aims to identify specific features that characterize patients bearing the neuralgic amyotrophy triggered by HEV. We first describe a new case report of HEV-neuralgic amyotrophy, with delayed diaphragmatic reach. Then, the literature was searched for reports of HEV-NA (n = 39), and neuralgic amyotrophy with phrenic paresis (n = 42) from 1999 to June 2016. Relevant data were retrieved, analyzed and compared with the parameters of idiopathic neuralgic amyotrophy (n = 199) of the largest cohort, described by Van Alfen and Van Engelen in 2006. Compared to the published cohort, HEV-NA patients were more likely to be men (M/F 34/5 vs. 136/63, p = 0.017), with more frequent bilateral symptoms (86.8% cases vs. 28.5%, p < 0.0001) as well as phrenic paresis (18.0 vs. 6.6%, p = 0.028). The clinical improvement is poor, with 15.6% of cases with remission only. A particular phenotype characteristic of the HEV-induced neuralgic amyotrophy has arisen. Our findings call for action in validating the above-mentioned features that illustrate the HEV-NA cases as an early diagnosis would prevent complications, especially the phrenic damage often associated with a worse functional outcome.
[Mh] Termos MeSH primário: Neurite do Plexo Braquial/etiologia
Neurite do Plexo Braquial/virologia
Vírus da Hepatite E/patogenicidade
Hepatite E/complicações
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170928
[Lr] Data última revisão:
170928
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170302
[St] Status:MEDLINE
[do] DOI:10.1007/s00415-017-8433-z


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[PMID]:28044362
[Au] Autor:Feinberg JH; Nguyen ET; Boachie-Adjei K; Gribbin C; Lee SK; Daluiski A; Wolfe SW
[Ad] Endereço:Department of Physiatry, Hospital for Special Surgery, 429 East 75th Street, Third Floor, New York, New York, 10021, USA.
[Ti] Título:The electrodiagnostic natural history of parsonage-turner syndrome.
[So] Source:Muscle Nerve;56(4):737-743, 2017 Oct.
[Is] ISSN:1097-4598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Recovery from Parsonage-Turner syndrome (PTS) is generally favorable, although recovery times have been shown to vary, in part because there are no universally accepted outcome measures. In this study, we describe the electrodiagnostic natural history of this condition based on objective electrodiagnostic testing, and propose that complete electrodiagnostic recovery can be seen as early as 1 year. METHODS: Twenty-six subjects with 29 affected nerves confirmed as PTS were followed every 3 months for electrodiagnostic testing, or until full reinnervation was confirmed. RESULTS: Twenty-three cases (79.3%) demonstrated electrodiagnostic evidence of initial recovery at a mean of 5.8 months. Nine cases (31%) showed complete electrodiagnostic recovery at a mean of 1 year. When excluding cases with <1 year of follow-up, 52.9% achieved complete electrodiagnostic recovery. CONCLUSIONS: In contrast to previous reports, full electrodiagnostic recovery of PTS was demonstrated at a mean of 1 year in > 50% of patients with longer term follow-up. Muscle Nerve 56: 737-743, 2017.
[Mh] Termos MeSH primário: Neurite do Plexo Braquial/diagnóstico
Neurite do Plexo Braquial/fisiopatologia
Eletromiografia/tendências
Recuperação de Função Fisiológica/fisiologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Eletrodiagnóstico/métodos
Eletrodiagnóstico/tendências
Eletromiografia/métodos
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Estudos Prospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171009
[Lr] Data última revisão:
171009
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170104
[St] Status:MEDLINE
[do] DOI:10.1002/mus.25558


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[PMID]:27913223
[Au] Autor:Pischke S; Hartl J; Pas SD; Lohse AW; Jacobs BC; Van der Eijk AA
[Ad] Endereço:Department of Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany. Electronic address: spischke@uke.de.
[Ti] Título:Hepatitis E virus: Infection beyond the liver?
[So] Source:J Hepatol;66(5):1082-1095, 2017 05.
[Is] ISSN:1600-0641
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Hepatitis E virus (HEV) infections are not limited to the liver but may also affect other organs. Several diseases, including Guillain-Barré syndrome, neuralgic amyotrophy, glomerulonephritis, cryoglobulinemia, pancreatitis, lymphoma, thrombopenia, meningitis, thyroiditis and myocarditis have been observed in the context of hepatitis E. To date, the definite pathophysiological links between HEV and extrahepatic manifestations are not yet established. However, it is suggested that HEV infection might be causative based on serological studies, case series, in vitro data and animal models. In particular, neuronal and renal diseases as well as pancreatitis seem to be caused by HEV, while a causative relationship between HEV and other diseases is more doubtful. Either direct cytopathic tissue damage by extrahepatic replication, or immunological processes induced by an overwhelming host immune response, are possible origins of HEV-associated extrahepatic manifestations. Hepatologists should be aware of the possibility that acute or chronically HEV-infected patients could develop extrahepatic manifestations. Neurologists, nephrologists, rheumatologists and other groups of physicians should consider HEV infection as a potential differential diagnosis when observing one of the diseases described in this review. Ribavirin and steroids have been used in small groups of patients with extrahepatic manifestations of HEV, but the efficacy of these drugs still needs to be verified by large, multicenter studies. This article comprehensively reviews the published literature regarding HEV and extrahepatic manifestations. We discuss the probability of specific extrahepatic diseases being caused by previous or ongoing HEV infection, and summarize the published knowledge about antiviral treatment in extrahepatic disorders.
[Mh] Termos MeSH primário: Hepatite E/complicações
[Mh] Termos MeSH secundário: Animais
Neurite do Plexo Braquial/etiologia
Síndrome de Guillain-Barré/etiologia
Hepatite Autoimune/etiologia
Seres Humanos
Nefropatias/etiologia
Transtornos Mentais/etiologia
Gamopatia Monoclonal de Significância Indeterminada/etiologia
Pancreatite/etiologia
Trombocitopenia/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161204
[St] Status:MEDLINE


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[PMID]:27864992
[Au] Autor:Sneag DB; Saltzman EB; Meister DW; Feinberg JH; Lee SK; Wolfe SW
[Ad] Endereço:Department of Radiology and Imaging, Hospital for Special Surgery, 535 East 70th Street, New York, New York, USA, 10021.
[Ti] Título:MRI bullseye sign: An indicator of peripheral nerve constriction in parsonage-turner syndrome.
[So] Source:Muscle Nerve;56(1):99-106, 2017 Jul.
[Is] ISSN:1097-4598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The role of MRI in identifying hourglass constrictions (HGCs) of nerves in Parsonage-Turner syndrome (PTS) is largely unknown. METHODS: Six patients with PTS and absent or minimal recovery underwent MRI. Surgical exploration was performed at identified pathologic sites. RESULTS: The time between symptom onset and surgery was 12.4 ± 6.9 months; the time between MRI and surgery was 1.3 ± 0.6 months. Involved nerves included suprascapular, axillary, radial, and median nerve anterior interosseous and pronator teres fascicles. Twenty-three constriction sites in 10 nerves were identified on MRI. A "bullseye sign" of the nerve, identified immediately proximal to 21 of 23 sites, manifested as peripheral signal hyperintensity and central hypointensity orthogonal to the long axis of the nerve. All constrictions were confirmed operatively. CONCLUSIONS: In PTS, a bullseye sign on MRI can accurately localize HGCs, a previously unreported finding. Causes of HGCs and the bullseye sign are unknown. Muscle Nerve 56: 99-106, 2017.
[Mh] Termos MeSH primário: Neurite do Plexo Braquial/complicações
Neurite do Plexo Braquial/patologia
Constrição Patológica/complicações
Imagem por Ressonância Magnética
Nervos Periféricos/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Neurite do Plexo Braquial/cirurgia
Constrição Patológica/diagnóstico por imagem
Constrição Patológica/cirurgia
Feminino
Seres Humanos
Processamento de Imagem Assistida por Computador
Masculino
Meia-Idade
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170818
[Lr] Data última revisão:
170818
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161120
[St] Status:MEDLINE
[do] DOI:10.1002/mus.25480


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[PMID]:27680713
[Au] Autor:Ferrante MA; Wilbourn AJ
[Ad] Endereço:Department of Neurology, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
[Ti] Título:Lesion distribution among 281 patients with sporadic neuralgic amyotrophy.
[So] Source:Muscle Nerve;55(6):858-861, 2017 Jun.
[Is] ISSN:1097-4598
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The muscles commonly affected by neuralgic amyotrophy (NA) are well known, but the location of the responsible lesions is less clear (plexus versus extraplexus). METHODS: We report the lesion locations in 281 NA patients as determined by extensive electrodiagnostic (EDX) testing. RESULTS: Our 281 patients had 322 bouts of NA, 57 of which were bilateral, for a total of 379 assessable events. A single nerve was involved in 174 (46%), and 205 (54%) were multifocal. EDX testing identified 703 individual lesions: 699 neuropathies and 4 supraclavicular radiculoplexus lesions. CONCLUSIONS: The frequency of nerve involvement reflects the motor predilection of NA. Involvement of pure motor nerves exceeded that of predominantly motor nerves, both of which far exceeded involvement of more evenly mixed sensorimotor nerves. Cutaneous sensory nerves were least commonly involved. Because of the common C5-C6 innervation, NA often mimics an upper plexus lesion. Extraplexus nerve involvement far exceeded plexus involvement. Distal motor branch involvement explains the severe single-muscle wasting and weakness often observed. Muscle Nerve 55: 858-861, 2017.
[Mh] Termos MeSH primário: Neurite do Plexo Braquial/patologia
Plexo Braquial/patologia
Músculo Esquelético/fisiopatologia
[Mh] Termos MeSH secundário: Eletrocardiografia
Eletromiografia
Feminino
Seres Humanos
Masculino
Nervos Periféricos/patologia
Nervos Periféricos/fisiopatologia
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160930
[St] Status:MEDLINE
[do] DOI:10.1002/mus.25422


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[PMID]:27079958
[Au] Autor:Cabezón I; Barreiro G; Egurbide MV
[Ad] Endereço:Servicio de Medicina Interna, Hospital Universitario de Cruces, Baracaldo, Vizcaya, España. Electronic address: itxascabezon@yahoo.es.
[Ti] Título:Parsonage-Turner syndrome: A case report.
[Ti] Título:Síndrome de Parsonage-Turner: a propósito de un caso..
[So] Source:Reumatol Clin;13(1):60-61, 2017 Jan - Feb.
[Is] ISSN:1885-1398
[Cp] País de publicação:Spain
[La] Idioma:eng; spa
[Mh] Termos MeSH primário: Neurite do Plexo Braquial/diagnóstico
[Mh] Termos MeSH secundário: Idoso
Seres Humanos
Masculino
[Pt] Tipo de publicação:CASE REPORTS; LETTER
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160416
[St] Status:MEDLINE


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[PMID]:27861224
[Au] Autor:Avila JD; Lacomis D; Lam EM
[Ad] Endereço:*Department of Neurology, Washington University School of Medicine, St. Louis, MO; and †Department of Neurology, University of Pittsburgh Medical Center, Pittsburgh, PA.
[Ti] Título:Neuralgic Amyotrophy Associated With Hepatitis E Virus Infection: First Case in the United States.
[So] Source:J Clin Neuromuscul Dis;18(2):96-100, 2016 Dec.
[Is] ISSN:1537-1611
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Hepatitis E is an emerging viral infection in developed countries. It can present with multiple extra-hepatic manifestations, including neuralgic amyotrophy. We report a 52-year-old man who presented with neck and shoulder pain followed by orthopnea and left arm weakness. Electrodiagnostic testing showed left phrenic neuropathy and denervation in bilateral C5 and C6 myotomes. He also had elevated liver enzymes, which led to the diagnosis of acute hepatitis E. This is the first case of neuralgic amyotrophy associated with hepatitis E in the United States. Hepatitis E should be considered in patients with neuralgic amyotrophy, particularly men with bilateral symptoms, and if there is unexplained elevation of transaminases. The role of antiviral therapy remains unclear.
[Mh] Termos MeSH primário: Neurite do Plexo Braquial/etiologia
Encéfalo/diagnóstico por imagem
Vírus da Hepatite E/isolamento & purificação
Hepatite E/complicações
Nervo Frênico/fisiopatologia
[Mh] Termos MeSH secundário: Neurite do Plexo Braquial/diagnóstico por imagem
Neurite do Plexo Braquial/fisiopatologia
Eletrodiagnóstico
Eletromiografia
Hepatite E/diagnóstico por imagem
Hepatite E/fisiopatologia
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170313
[Lr] Data última revisão:
170313
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161119
[St] Status:MEDLINE


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[PMID]:27821298
[Au] Autor:Akane M; Iwatsuki K; Tatebe M; Nishizuka T; Kurimoto S; Yamamoto M; Hirata H
[Ad] Endereço:Department of Hand Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi 466-8560, Japan. Electronic address: akane-ymnngy@umin.ac.jp.
[Ti] Título:Anterior interosseous nerve and posterior interosseous nerve involvement in neuralgic amyotrophy.
[So] Source:Clin Neurol Neurosurg;151:108-112, 2016 Dec.
[Is] ISSN:1872-6968
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The aim of this study was to gain a better understanding of anterior interosseous nerve and posterior interosseous nerve involvement in neuralgic amyotrophy. METHODS: In a retrospective chart review, 51 cases (49 patients) with anterior and posterior interosseous nerve syndrome were investigated in terms of their symptoms, course of disease, and prognosis. RESULTS: Patients first presented with pain in 52.9% of cases. The location of the pain was distal to the shoulder in most cases (85.1%). Sensory involvement was found in 27.5% of patients, and patients with pain before paresis had fewer sensory symptoms (p=0.006). Neurolysis significantly improved Hand20 scores, but conservative treatment did not (p=0.020 vs. 0.204). CONCLUSIONS: Patients with anterior interosseous nerve and posterior interosseous nerve affection in neuralgic amyotrophy had less pain. Neurolysis can be superior to conservative treatment in the patients with focal constrictions and no spontaneous recovery.
[Mh] Termos MeSH primário: Neurite do Plexo Braquial/fisiopatologia
Nervo Mediano/fisiopatologia
Neuralgia/fisiopatologia
Nervo Radial/fisiopatologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Neurite do Plexo Braquial/diagnóstico por imagem
Neurite do Plexo Braquial/terapia
Feminino
Seres Humanos
Masculino
Nervo Mediano/diagnóstico por imagem
Meia-Idade
Bloqueio Nervoso
Neuralgia/diagnóstico por imagem
Neuralgia/terapia
Avaliação de Resultados (Cuidados de Saúde)
Nervo Radial/diagnóstico por imagem
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161109
[St] Status:MEDLINE



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