CLINICAL AND NEUROPHYSIOLOGICAL PARALLELS OF THE BRACHIAL PLEXOPATHY IN THE STRUCTURE OF NEUROGENIC THORACIC OUTLET SYNDROME.
Wiad Lek
; 75(2): 469-472, 2022.
Article
em En
| MEDLINE
| ID: mdl-35307678
ABSTRACT
OBJECTIVE:
Theaim:
Was assessment of the neurophysiological data and features of clinical picture in patients with neurogenic thoracic outlet syndrome (TOS). PATIENTS ANDMETHODS:
Materials andmethods:
103 patients with upper extremity pain and/or paresthesia or hypotrophy, or a combination of these symptoms were examined. The examination algorithm included cervical spine radiography, cervical spine and brachial plexuses magnetic resonance imaging (MRI), upper extremity soft tissues and vessels ultrasonic examination, stimulation electroneuromiography with F-waves registration.RESULTS:
Results:
Neurogenic TOS was diagnosed in 29 patients. A significant relationship between the following complaints and neurophysiological parameters was observed pain, numbness during physical activity and decreased medial anrebrachial cutaneous nerve response amplitude by ≥25% compared to the contralateral side; hypothenar hypotrophy and decrease of ulnar nerve motor/sensory response amplitude; the 4-5th fingers hypoesthesia and decrease of ulnar nerve sensory response amplitude.CONCLUSION:
Conclusions:
Medial antebrachial cutaneous nerve amplitudes asymmetry indices of ≥25% or lack of response may be considered to be a marker of true neurogenic TOS.Palavras-chave
Buscar no Google
Base de dados:
MEDLINE
Assunto principal:
Síndrome do Desfiladeiro Torácico
/
Plexo Braquial
/
Neuropatias do Plexo Braquial
Limite:
Humans
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article