Ultrasonographic identification of nerve pathology in neuralgic amyotrophy: Enlargement, constriction, fascicular entwinement, and torsion.
Muscle Nerve
; 52(4): 503-11, 2015 Oct.
Article
en En
| MEDLINE
| ID: mdl-25703205
ABSTRACT
INTRODUCTION:
The aim of this study was to characterize the ultrasonographic findings on nerves in neuralgic amyotrophy.METHODS:
Fourteen patients with neuralgic amyotrophy were examined using high-resolution ultrasound.RESULTS:
Four types of abnormalities were found (1) focal or diffuse nerve/fascicle enlargement (57%); (2) incomplete nerve constriction (36%); (3) complete nerve constriction with torsion (50%; hourglass-like appearance); and (4) fascicular entwinement (28%). Torsions were confirmed intraoperatively and were seen on the radial nerve in 85% of patients. A significant correlation was found between no spontaneous recovery of nerve function and constriction/torsion/fascicular entwinement (P = 0.007).CONCLUSION:
Ultrasonographic nerve pathology in neuralgic amyotrophy varies in order of severity from nerve enlargement to constriction to nerve torsion, with treatment ranging from conservative to surgical. We postulate that the constriction caused by inflammation is the precursor of torsion and that development of nerve torsion is facilitated by the rotational movements of limbs.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Nervios Periféricos
/
Anomalía Torsional
/
Neuritis del Plexo Braquial
/
Constricción Patológica
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Muscle Nerve
Año:
2015
Tipo del documento:
Article
País de afiliación:
Hungria