Non-traumatic brachial plexopathies, clinical, radiological and neurophysiological findings from a tertiary centre.

Hdl Handle:
http://hdl.handle.net/10147/209272
Title:
Non-traumatic brachial plexopathies, clinical, radiological and neurophysiological findings from a tertiary centre.
Authors:
Mullins, G M; O'Sullivan, S S; Neligan, A; Daly, S; Galvin, R J; Sweeney, B J; McNamara, B
Affiliation:
Department of Neurology Cork University Hospital, Ireland. Megager@yahoo.com
Citation:
Clin Neurol Neurosurg. 2007 Oct;109(8):661-6. Epub 2007 Jul 10.
Journal:
Clinical neurology and neurosurgery
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/209272
DOI:
10.1016/j.clineuro.2007.05.010
PubMed ID:
17624660
Abstract:
OBJECTIVE: To establish the clinical characteristics, aetiology, neuro-physiological characteristics, imaging findings and other investigations in a cohort of patients with non-traumatic brachial plexopathy (BP). METHODS: A 3-year retrospective study of patients with non-traumatic BP identified by electromyography (EMG) and nerve conduction studies (NCS). Clinical information was retrieved from patients' medical charts. RESULTS: Twenty-five patients were identified. Causes of BP included neuralgic amyotrophy (NA) (48%), neoplastic (16%), radiation (8%), post infectious (12%), obstetric (4%), rucksack injury (4%), thoracic outlet syndrome (4%) and iatrogenic (4%). Patients with NA presented acutely in 50%. The onset was subacute in all others. Outcome was better for patients with NA. All patients with neoplastic disease had a previous history of cancer. MRI was abnormal in 3/16 patients (18.8%). PET scanning diagnosed metastatic plexopathy in two cases. CONCLUSIONS: NA was the most common cause of BP in our cohort and was associated with a more favourable outcome. The authors note potentially discriminating clinical characteristics in our population that aid in the assessment of patients with brachial plexopathies. We advise NCS and EMG be performed in all patients with suspected plexopathy. Imaging studies are useful in selected patients.
Language:
eng
MeSH:
Action Potentials/physiology; Adolescent; Adult; Aged; Brachial Plexus Neuropathies/*etiology/*physiopathology/radiography; Child; Child, Preschool; Cohort Studies; Electromyography; Female; Humans; Infant; Ireland; Male; Median Nerve/physiopathology; Middle Aged; Neural Conduction/physiology; Recovery of Function/physiology; Retrospective Studies; Ulnar Nerve/physiopathology
ISSN:
0303-8467 (Print); 0303-8467 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorMullins, G Men_GB
dc.contributor.authorO'Sullivan, S Sen_GB
dc.contributor.authorNeligan, Aen_GB
dc.contributor.authorDaly, Sen_GB
dc.contributor.authorGalvin, R Jen_GB
dc.contributor.authorSweeney, B Jen_GB
dc.contributor.authorMcNamara, Ben_GB
dc.date.accessioned2012-02-03T15:16:49Z-
dc.date.available2012-02-03T15:16:49Z-
dc.date.issued2012-02-03T15:16:49Z-
dc.identifier.citationClin Neurol Neurosurg. 2007 Oct;109(8):661-6. Epub 2007 Jul 10.en_GB
dc.identifier.issn0303-8467 (Print)en_GB
dc.identifier.issn0303-8467 (Linking)en_GB
dc.identifier.pmid17624660en_GB
dc.identifier.doi10.1016/j.clineuro.2007.05.010en_GB
dc.identifier.urihttp://hdl.handle.net/10147/209272-
dc.description.abstractOBJECTIVE: To establish the clinical characteristics, aetiology, neuro-physiological characteristics, imaging findings and other investigations in a cohort of patients with non-traumatic brachial plexopathy (BP). METHODS: A 3-year retrospective study of patients with non-traumatic BP identified by electromyography (EMG) and nerve conduction studies (NCS). Clinical information was retrieved from patients' medical charts. RESULTS: Twenty-five patients were identified. Causes of BP included neuralgic amyotrophy (NA) (48%), neoplastic (16%), radiation (8%), post infectious (12%), obstetric (4%), rucksack injury (4%), thoracic outlet syndrome (4%) and iatrogenic (4%). Patients with NA presented acutely in 50%. The onset was subacute in all others. Outcome was better for patients with NA. All patients with neoplastic disease had a previous history of cancer. MRI was abnormal in 3/16 patients (18.8%). PET scanning diagnosed metastatic plexopathy in two cases. CONCLUSIONS: NA was the most common cause of BP in our cohort and was associated with a more favourable outcome. The authors note potentially discriminating clinical characteristics in our population that aid in the assessment of patients with brachial plexopathies. We advise NCS and EMG be performed in all patients with suspected plexopathy. Imaging studies are useful in selected patients.en_GB
dc.language.isoengen_GB
dc.subject.meshAction Potentials/physiologyen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshBrachial Plexus Neuropathies/*etiology/*physiopathology/radiographyen_GB
dc.subject.meshChilden_GB
dc.subject.meshChild, Preschoolen_GB
dc.subject.meshCohort Studiesen_GB
dc.subject.meshElectromyographyen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshInfanten_GB
dc.subject.meshIrelanden_GB
dc.subject.meshMaleen_GB
dc.subject.meshMedian Nerve/physiopathologyen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshNeural Conduction/physiologyen_GB
dc.subject.meshRecovery of Function/physiologyen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshUlnar Nerve/physiopathologyen_GB
dc.titleNon-traumatic brachial plexopathies, clinical, radiological and neurophysiological findings from a tertiary centre.en_GB
dc.contributor.departmentDepartment of Neurology Cork University Hospital, Ireland. Megager@yahoo.comen_GB
dc.identifier.journalClinical neurology and neurosurgeryen_GB
dc.description.provinceMunster-

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.