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cervical brachial syndrome

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https://www.readbyqxmd.com/read/27891243/a-comprehensive-musculoskeletal-and-peripheral-nervous-system-assessment-of-war-related-bilateral-upper-extremity-amputees
#1
Mostafa Allami, Batool Mousavi, Mehdi Masoumi, Ehsan Modirian, Hadi Shojaei, Fatemeh Mirsalimi, Maryam Hosseini, Pirouz Pirouzi
BACKGROUND: Upper limb amputations are one of the unpleasant war injuries that armed forces are exposed to frequently. The present study aimed to assess the musculoskeletal and peripheral nervous systems in Iraq-Iran war veterans with bilateral upper extremity amputation. METHODS: The study consisted of taking a history and clinical examinations including demographic data, presence and location of pain, level of amputation, passive and active ranges of movement of the joints across the upper and lower extremities and spine, manual palpation, neurological examination, blood circulation pulses and issues related to a prosthetic limb...
2016: Military Medical Research
https://www.readbyqxmd.com/read/27813034/-horner-syndrome-following-combined-spinal-epidural-anesthesia
#2
Ömer Karaca, Sezen Kumaş Solak, Serdar Demirgan, Mehmet Bademci
Horner syndrome is rarely observed in connection with epidural anesthesia. It is characterized by ptosis, enophthalmos, miosis, anisocoria, and conjunctival hyperemia in the affected eye, as well as anhydrosis and flushing on the affected side of the face. It is usually a complication spontaneously resolved without permanent neurological deficits. Intraoral anesthesia; stellate ganglion, cervical or brachial plexus blocks; thoracic, lumbar or caudal epidural anesthesia, and intrapleural analgesia are the main causes for Horner syndrome related to anesthesia...
July 2016: Aǧrı: Ağrı (Algoloji) Derneği'nin Yayın Organıdır, the Journal of the Turkish Society of Algology
https://www.readbyqxmd.com/read/27680222/an-overlap-case-of-fisher-syndrome-and-pharyngeal-cervical-brachial-variant-of-guillain-barr%C3%A3-syndrome-associated-with-urinary-retention-and-constipation
#3
Toshiyuki Sakai, Masahide Kondo, Hidekazu Tomimoto, Yuko Yamagishi
We report a 28-year-old woman with the overlap of Fisher syndrome and pharyngeal-cervical-brachial variant of Guillain-Barré syndrome associated with urinary retention and constipation. She showed total ophthalmoplegia, dysphagia, dysarthria, upper extremity weakness, cerebellar ataxia, slightly diminished superficial sensations in her hands and feet, urinary retention and constipation 14 days after preceding infection. Laboratory data showed elevations of antiganglioside antibodies to GT1b, GD1b, GQ1b, GD3 and GT1a in the IgG subclass...
September 28, 2016: Rinshō Shinkeigaku, Clinical Neurology
https://www.readbyqxmd.com/read/27546594/an-unusual-cause-of-thoracic-outlet-syndrome
#4
Davide Zampieri, Giuseppe Marulli, Marco Mammana, Francesca Calabrese, Marco Schiavon, Federico Rea
Thoracic outlet syndrome (TOS) is a condition arising from compression of the subclavian vessels and/or brachial plexus. Many factors or diseases may cause compression of the neurovascular bundle at the thoracic outlet. We describe the case of a 41-year-old woman with TOS who presented with vascular venous symptoms. Chest computed tomography (CT) scan showed a cystic mass at the level of cervico-thoracic junction, located between the left subclavian artery and vein, which appeared compressed. The cystic mass was removed through a cervical approach and it was found to be a cyst arising from the thoracic duct compressing and anteriorly dislocating the left subclavian vein...
July 26, 2016: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/27362696/sonographic-nerve-tracking-in-the-cervical-region-a-pictorial-essay-and-video-demonstration
#5
Ke-Vin Chang, Chih-Peng Lin, Chen-Yu Hung, Levent Özçakar, Tyng-Guey Wang, Wen-Shiang Chen
Imaging of the nerves in the cervical region is more complicated than those of the extremities. Although high-resolution ultrasound enables the depiction of peripheral nerves' morphology and their associations with the adjacent soft tissues, precise identification of the nerves in the neck is still challenging. Familiarization with the cervical nerve tracking techniques can help interventional physiatrists explore/treat relevant entrapment syndromes, so does guiding proper electrode placement during nerve conduction studies...
November 2016: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/27301520/brachial-diparesis-due-to-motor-neuronopathy-as-one-of-the-predominant-presenting-signs-of-occult-small-cell-lung-carcinoma
#6
Sefik Evren Erdener, Atay Vural, Cagri Mesut Temucin, Sevim Erdem Ozdamar, Gulay Nurlu, Kubilay Varli, Nese Dericioglu
Sensory neuronopathy is a well-established presentation in paraneoplastic neurological syndromes that is mostly associated with small cell lung cancer and anti-Hu antibodies. Motor neuronopathy, on the other hand, is an extremely rare observation in this syndrome. A 56-year-old man presented with asymmetric brachial diparesis and sensory ataxia. Electrophysiological studies revealed sensory ganglionopathy and progressive anterior horn degeneration in cervical segments. Small cell lung carcinoma with associated anti-Hu antibodies was later diagnosed...
2016: Internal Medicine
https://www.readbyqxmd.com/read/27156505/-neurological-signs-and-symptoms-of-true-neurogenic-thoracic-outlet-syndrome
#7
Mana Higashihara, Fumie Konoeda, Masahiro Sonoo
Thoracic outlet syndrome (TOS) is a well-known disorder, but many aspects of its pathology, including its definition, has been disputed. True neurogenic TOS (TN-TOS) is a rare but well-defined clinical condition. TN-TOS results from the compression of the C8/T1 roots (dominant for the T1 root) or the proximal lower trunk of the brachial plexus by a fibrous band. The band extends from the first rib to either the tip of an elongated C7 transverse process or a rudimentary cervical rib. The most common presenting symptoms of TN-TOS are insidious-onset atrophy and weakness of the intrinsic hand muscles, predominantly in the thenar eminence and radial digit flexors...
May 2016: Brain and Nerve, Shinkei Kenkyū No Shinpo
https://www.readbyqxmd.com/read/26969889/how-often-and-when-fisher-syndrome-is-overlapped-by-guillain-barr%C3%A3-syndrome-or-bickerstaff-brainstem-encephalitis
#8
Y Sekiguchi, M Mori, S Misawa, S Sawai, N Yuki, M Beppu, S Kuwabara
BACKGROUND AND PURPOSE: Fisher syndrome (FS) may overlap with Guillain-Barré syndrome (GBS), in particular the pharyngeal-cervical-brachial variant form (PCB-GBS), or Bickerstaff brainstem encephalitis (BBE). Our aim was to elucidate the frequency of this overlap and the patterns of clinical progression in patients with FS. METHODS: Sixty consecutive patients with FS were studied. FS/PCB-GBS was diagnosed when the patients developed pharyngeal, cervical and/or brachial weakness...
June 2016: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/26893985/pediatric-stinger-syndrome-acute-brachial-plexopathy-after-minor-trauma
#9
Whitney L Quong, Sally L Hynes, Jugpal S Arneja
The "stinger" or "burner" is a form of transient brachial plexopathy termed for its characteristic knife-like pain extending from the neck to the fingertips. Muscle weakness and paresthesia are oftentimes associated symptoms and are similarly temporary. Commonly observed in athletes of contact sports, the stinger results from high force trauma causing either traction/direct compression to the brachial plexus or extension/compression of the cervical nerve roots. We describe a pediatric case of a stinger in a 14-year-old boy, which was caused by a relatively low force trauma accident...
November 2015: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/26860655/high-resolution-neurography-of-the-brachial-plexus-by-3-tesla-magnetic-resonance-imaging
#10
C Cejas, C Rollán, G Michelin, M Nogués
The study of the structures that make up the brachial plexus has benefited particularly from the high resolution images provided by 3T magnetic resonance scanners. The brachial plexus can have mononeuropathies or polyneuropathies. The mononeuropathies include traumatic injuries and trapping, such as occurs in thoracic outlet syndrome due to cervical ribs, prominent transverse apophyses, or tumors. The polyneuropathies include inflammatory processes, in particular chronic inflammatory demyelinating polyneuropathy, Parsonage-Turner syndrome, granulomatous diseases, and radiation neuropathy...
March 2016: Radiología
https://www.readbyqxmd.com/read/26718574/acute-bulbar-palsy-as-a-variant-of-guillain-barr%C3%A3-syndrome
#11
Jong Kuk Kim, Byung-Jo Kim, Ha Young Shin, Kyong Jin Shin, Tai-Seung Nam, Jeeyoung Oh, Bum Chun Suh, Byeol-A Yoon, Hwan Tae Park, So-Young Huh, Seong-Il Oh, Jong Seok Bae
OBJECTIVE: To categorize a syndrome manifesting as prominent acute bulbar palsy (ABP) without limb motor weakness as a variant form of Guillain-Barré syndrome (GBS) and differentiate it from Miller Fisher syndrome (MFS) and pharyngeal-cervical-brachial (PCB) variants. METHODS: We analyzed cases of ABP without limb motor weakness based on a dataset containing clinical information and the results of antiganglioside antibodies assays for acute immune-mediated neuropathies...
February 23, 2016: Neurology
https://www.readbyqxmd.com/read/26697812/-pharyngeal-cervical-brachial-syndrome-a-rare-form-of-guillain-barr%C3%A3-syndrome-with-severe-acute-bulbar-palsy
#12
E Lametery, F Dubois-Teklali, A Millet, V Manel
The pharyngeal-cervical-brachial (PCB) variant of Guillain-Barré syndrome is rare in children. It is characterized by oropharyngeal, neck, and upper limb muscle involvement, without ataxia and disturbed consciousness. Although associated with anti-GT1a antibodies, there is no single clinical or serological marker of PCB syndrome. We report on two cases in a 14-year-old and a 15-year-old females. The first symptom was acute dysphonia followed by severe bulbar palsy with deglutition disorders, associated with involvement of other cranial nerves and arm and leg weakness...
February 2016: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/26674710/ultrasonographic-diagnostics-of-pain-in-the-lateral-cubital-compartment-and-proximal-forearm
#13
REVIEW
Anna Dębek, Paweł Nowicki, Zbigniew Czyrny
Pain in the lateral compartment of the elbow joint and decreased strength of the extensor muscle constitute a fairly common clinical problem. These symptoms, occurring in such movements as inverting and converting the forearm, pushing, lifting and pulling, mostly affect people who carry out daily activities with an intense use of wrist, e.g. work on computer. Strains in this area often result from persistent overload and degeneration processes of the common extensor tendon and the radial collateral ligament...
June 2012: Journal of Ultrasonography
https://www.readbyqxmd.com/read/26560946/-clinical-phenotypes-in-guillain-barr%C3%A3-syndrome
#14
REVIEW
Michiaki Koga
Guillain-Barré syndrome can be classified into several phenotypes according to the type of predominantly disturbed nerve fibers, distribution of muscular weakness, and electrophysiological and pathological findings. Although several regional variants including Fisher syndrome and pharyngeal-cervical-brachial weakness were initially reported in Western researchers, many labor-intensive studies by Japanese researchers have significantly contributed to defining and highlighting these variants. This review summarizes the several regional variants of Guillain-Barré syndrome while highlighting the substantial contributions made by Japanese investigators...
November 2015: Brain and Nerve, Shinkei Kenkyū No Shinpo
https://www.readbyqxmd.com/read/26452439/acute-bulbar-neck-and-limb-weakness-with-monospecific-anti-gt1a-antibody-a-rare-localized-subtype-of-guillain-barr%C3%A3-syndrome
#15
Nidhi Garg, Nobuhiro Yuki, Susanna B Park, Michael H Barnett, Matthew C Kiernan
INTRODUCTION: Acute bulbar, neck, and limb weakness carries several potential differential diagnoses. Although a diagnosis can often be established clinically, investigations such as electrodiagnostic and antibody testing can provide support for the clinical diagnosis and may aid in understanding the pathogenesis. A 65-year-old woman presented with acute bulbar, neck, and rapidly progressive bilateral upper limb weakness. METHODS: Clinical evaluation, electrophysiological, and serological studies were undertaken...
January 2016: Muscle & Nerve
https://www.readbyqxmd.com/read/26351312/an-unusual-presentation-of-guillain-barr%C3%A3-syndrome-in-a-young-man-with-bilateral-upper-extremity-weakness
#16
N McNicholas, S O'Dowd, B McNamara, O O'Toole
A 30-year-old man attended the emergency department with a 4-day history of progressive, bilateral upper limb weakness. He had mild shortness of breath and occasional swallowing difficulties. One month prior to presentation, he had flu-like symptoms and diarrhoea. Examination revealed upper limb hypotonia, symmetrical distal arm weakness and hyporeflexia. Power and reflexes in the lower limbs were normal. Nerve conduction studies and lumbar puncture demonstrated features consistent with Guillain-Barré syndrome (GBS)...
2015: BMJ Case Reports
https://www.readbyqxmd.com/read/26131874/brachioradial-pruritus-in-a-patient-with-cervical-disc-herniation-and-parsonage-turner-syndrome
#17
Sandrina Carvalho, Madalena Sanches, Rosário Alves, Manuela Selores
Brachioradial pruritus is a chronic sensory neuropathy of unknown etiology which affects the skin of the shoulders, arms and forearms on the insertion of the brachioradialis muscle. We describe the case of a 60-year old woman recently diagnosed with multiple myeloma who refers paresis, severe pruritus and itching lesions on the right arm with 6 months of evolution. Investigation led to a diagnosis of Brachioradial pruritus consequent to the presence of cervical disc herniation and Parsonage-Turner syndrome...
May 2015: Anais Brasileiros de Dermatologia
https://www.readbyqxmd.com/read/26044970/proximal-conduction-block-in-the-pharyngeal-cervical-brachial-variant-of-guillain-barr%C3%A3-syndrome
#18
Guillaume Taieb, Aude-Marie Grapperon, Yann Duclos, Jérôme Franques, Pierre Labauge, Dimitri Renard, Nobuhiro Yuki, Shahram Attarian
INTRODUCTION: Conduction block (CB) has been included in the Rajabally criteria for axonal Guillain-Barré syndrome (GBS). Because the nerve roots may be affected early in GBS, detection of proximal CB by the triple stimulation technique (TST) can be useful. METHODS: We describe TST findings in 2 patients who presented with the pharyngeal-cervical-brachial (PCB) variant of axonal GBS. RESULTS: In the first patient, although conventional nerve conduction studies (NCS) did not fit electrodiagnostic criteria for axonal GBS, the TST detected proximal CB in the median and ulnar nerves...
December 2015: Muscle & Nerve
https://www.readbyqxmd.com/read/26032756/pharyngeal-cervical-brachial-miller-fisher-overlap-a-possible-central-variant
#19
Kai-Zheong Lim, Nirosen Vijiaratnam
No abstract text is available yet for this article.
October 2015: Muscle & Nerve
https://www.readbyqxmd.com/read/25987922/horner-s-syndrome-after-superficial-cervical-plexus-block
#20
Stefan Flores, Christine Riguzzi, Andrew A Herring, Arun Nagdev
Ultrasound-guided nerve blocks are becoming more essential for the management of acute pain in the emergency department (ED). With increased block frequency comes unexpected complications that require prompt recognition and treatment. The superficial cervical plexus block (SCPB) has been recently described as a method for ED management of clavicle fracture pain. Horner's syndrome (HS) is a rare and self-limiting complication of regional anesthesia in neck region such as brachial and cervical plexus blocks. Herein we describe the first reported case of a HS after an ultrasound-guided SCPB performed in the ED and discuss the complex anatomy of the neck that contributes to the occurrence of this complication...
May 2015: Western Journal of Emergency Medicine
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