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brachial plexus lesions

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https://www.readbyqxmd.com/read/27879550/successful-treatment-of-brachial-plexopathy-due-to-herpes-zoster-infection-with-intravenous-immunoglobulin
#1
Michel Sáenz-Farret, Valeria Sandoval-Rodríguez, Claudia Esther Paz-Navarro, Carlos Zúñiga-Ramírez
OBJECTIVE: The aim of this study was to report the case of a male patient with Parkinson disease who developed brachial plexopathy (BP) due to varicella-zoster virus, which was successfully treated with human immunoglobulin. METHOD: We report the case of a 75-year-old male subject with a diagnosis of Parkinson disease who came to our hospital complaining of pain, skin lesions, and strength loss in his right arm during the past 2 months. Physical examination revealed vesicular rash compatible with varicella-zoster virus lesions...
November 22, 2016: Clinical Neuropharmacology
https://www.readbyqxmd.com/read/27830921/post-operative-physical-therapy-program-for-latissimus-dorsi-and-teres-major-tendons-transfer-to-rotator-cuff-in-children-with-obstetrical-brachial-plexus-injury
#2
Yasser A Safoury, Mohamed Eldesoky, Enas E Abutaleb, Mohamed Raafat, Ahmed M Gaber
BACKGROUND: The transfer latissimus dorsi and teres major tendons to rotator cuff have been developed to rebalance the muscular dysfunction and improve shoulder range of motion in children with obstetrical brachial plexus palsy (OBPP). No previous study reported the ideal postoperative physical therapy program for these cases. AIM: The aim of the present study was to design appropriate postoperative physical therapy (PT) program after latissimus dorsi and teres major tendons transfer to rotator cuff in OBPP to improve upper limb function...
November 10, 2016: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27823370/peripheral-neuropathy-of-a-forelimb-in-horses-27-cases-2000-2013
#3
Anne-Laure Emond, Lélia Bertoni, Maeva Seignour, Virginie Coudry, Jean-Marie Denoix
OBJECTIVE To describe the clinical features, diagnostic procedures, management, and outcome of horses with peripheral neuropathy of a forelimb. DESIGN Retrospective case series. ANIMALS 27 horses. PROCEDURES Records from 2000 to 2013 were reviewed to identify horses with peripheral neuropathy of a forelimb. Horses were grouped as having predominant lesions of a suprascapular nerve, axillary nerve, or radial nerve (alone or in association with other brachial plexus nerves) on the basis of physical examination and diagnostic imaging findings...
November 15, 2016: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/27785555/clinical-and-radiologic-outcomes-of-arthroscopic-suture-bridge-repair-for-the-greater-tuberosity-fractures-of-the-proximal-humerus
#4
Jong-Hun Ji, Jae-Jung Jeong, Young-Yul Kim, Se-Won Lee, Do-Yeol Kim, Sang-Eun Park
PURPOSE: To report the clinical and radiological outcomes of arthroscopic suture bridge repair for the GT fractures of the shoulder joint. METHODS: From March 2008 to July 2013, we performed arthroscopic suture bridge repair of the GT fractures displaced more than 5 mm superiorly or posteriorly, but less than 2 cm in 40 cases [20 men, 20 women; mean age, 56 (27-80) years] with the average 32 (24-48) months follow-up. At the final follow-up, clinical (ASES, UCLA, SST, KSS score and range of motions) and radiological outcomes using post-operative MRI or CT scan were evaluated...
October 26, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27721757/a-case-of-suspected-breast-cancer-metastasis-to-brachial-plexus-detected-by-magnetic-resonance-neurography
#5
Atsushi Mizuma, Chikage Kijima, Eiichiro Nagata, Shunya Takizawa
Metastasis of breast cancer is often detected through a long-term course and difficult to diagnose. We report a case of brachial plexopathy suspected to be the initial lesion of breast cancer metastasis, which was only detected by magnetic resonance (MR) neurography. A 61-year-old woman was admitted to our hospital within 2 years after operation for breast cancer because of progressive dysesthesia and motor weakness initially in the upper limb on the affected side and subsequently on the contralateral side...
May 2016: Case Reports in Oncology
https://www.readbyqxmd.com/read/27697454/nerve-stress-during-reverse-total-shoulder-arthroplasty-a-cadaveric-study
#6
Hubert Lenoir, Louis Dagneaux, François Canovas, Thomas Waitzenegger, Thuy Trang Pham, Michel Chammas
BACKGROUND: Neurologic lesions are relatively common after total shoulder arthroplasty. These injuries are mostly due to traction. We aimed to identify the arm manipulations and steps during reverse total shoulder arthroplasty (RTSA) that affect nerve stress. METHODS: Stress was measured in 10 shoulders of 5 cadavers by use of a tensiometer on each nerve from the brachial plexus, with shoulders in different arm positions and during different surgical steps of RTSA...
September 30, 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27676737/sensory-nerve-action-potential-in-traumatic-brachial-plexus-injuries
#7
Sameh Ghroubi, Samar Alila, Atika Mallek, Wafa Elleuch, Khlil Nouri, Mohamed Habib Elleuch
OBJECTIVE: To show the contribution of the sensory nerve action potential in the topographic diagnosis of traumatic brachial plexus injuries through an illustration of 7 clinical cases. OBSERVATIONS: We report 7 clinical cases of patients with unilateral traumatic brachial plexus injuries, following public highway accident. We realized an electroneuromyographic test (ENMG) for each patient in our service. A radiculopathy C5C6C7 were found in 3 subjects. Other patients had a radiculopathy C5 T1, a radiculopathy C7C8 T1, a lesion of the upper trunk or a lesion of the posterior cord...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27671080/viral-neurotropism-peripheral-neuropathy-and-other-morphological-abnormalities-in-bovine-ephemeral-fever-virus-infected-downer-cattle
#8
R Barigye, S Davis, R Hunt, N Hunt, S Walsh, N Elliott, C Burnup, S Aumann, C Day, K Dyrting, R Weir, L F Melville
OBJECTIVE: This study assessed the neurotropism of bovine ephemeral fever (BEF) virus (BEFV) and described histomorphological abnormalities of the brain, spinal cord and peripheral nerves that may causally contribute to paresis or paralysis in BEF. METHODS: Four paralysed and six asymptomatic but virus-infected cattle were monitored, and blood and serum samples screened by qRT-PCR, virus isolation and neutralisation tests. Fresh brain, spinal cord, peripheral nerve and other tissues were qRT-PCR-tested for viral RNA, while formalin-fixed specimens were processed routinely and immunohistochemically evaluated for histomorphological abnormalities and viral antigen distribution, respectively...
October 2016: Australian Veterinary Journal
https://www.readbyqxmd.com/read/27547727/reduced-functional-connectivity-within-the-primary-motor-cortex-of-patients-with-brachial-plexus-injury
#9
D Fraiman, M F Miranda, F Erthal, P F Buur, M Elschot, L Souza, S A R B Rombouts, C A Schimmelpenninck, D G Norris, M J A Malessy, A Galves, C D Vargas
This study aims at the effects of traumatic brachial plexus lesion with root avulsions (BPA) upon the organization of the primary motor cortex (M1). Nine right-handed patients with a right BPA in whom an intercostal to musculocutaneous (ICN-MC) nerve transfer was performed had post-operative resting state fMRI scanning. The analysis of empirical functional correlations between neighboring voxels revealed faster correlation decay as a function of distance in the M1 region corresponding to the arm in BPA patients as compared to the control group...
2016: NeuroImage: Clinical
https://www.readbyqxmd.com/read/27535738/axillary-artery-pseudoaneurysm-resulting-in-brachial-plexus-injury-in-a-patient-taking-new-oral-anticoagulants
#10
Mohammed Monem, Mohamad Khalid Iskandarani, Kishan Gokaraju
We discuss the case of an independent 80-year-old Caucasian woman, being treated with new oral anticoagulants for a previous deep vein thrombosis, who had fallen on her right shoulder. She made a delayed presentation to the emergency department with a wrist drop in her right dominant hand. She had right arm bruising with good distal pulses but had a global neurological deficit in the hand. Plain radiographs of the shoulder, humerus, elbow, forearm and wrist demonstrated no fractures. MRI showed a significant right axillary lesion distorting the surrounding soft tissues, including the brachial plexus, and CT with contrast confirmed this to be a large axillary pseudoaneurysm...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27473649/neonatal-brachial-plexus-palsy-in-children-aged-0-to-2-5%C3%A2-years-parent-perceived-family-impact-quality-of-life-and-upper-extremity-functioning
#11
Menno van der Holst, Duco Steenbeek, Willem Pondaag, Rob G H H Nelissen, Thea P M Vliet Vlieland
BACKGROUND: To investigate whether parents perceive impact of neonatal brachial plexus palsy on family and quality of life and upper extremity functioning in children less than 2.5 years. METHODS: This cross-sectional study used the PedsQL Family Impact Module (36 items/one total/four scales/scores 0 to 100), TNO-AZL (Dutch Organisation of Applied Natural Science and Academic Hospital Leiden) Preschool Children Quality of Life (43 items/12 scales/scores 0 to 100) and 21 upper extremity functioning questions...
September 2016: Pediatric Neurology
https://www.readbyqxmd.com/read/27446617/long-standing-motor-and-sensory-recovery-following-acute-fibrin-sealant-based-neonatal-sciatic-nerve-repair
#12
Natalia Perussi Biscola, Luciana Politti Cartarozzi, Rui Seabra Ferreira Junior, Benedito Barraviera, Alexandre Leite Rodrigues de Oliveira
Brachial plexus lesion results in loss of motor and sensory function, being more harmful in the neonate. Therefore, this study evaluated neuroprotection and regeneration after neonatal peripheral nerve coaptation with fibrin sealant. Thus, P2 neonatal Lewis rats were divided into three groups: AX: sciatic nerve axotomy (SNA) without treatment; AX+FS: SNA followed by end-to-end coaptation with fibrin sealant derived from snake venom; AX+CFS: SNA followed by end-to-end coaptation with commercial fibrin sealant...
2016: Neural Plasticity
https://www.readbyqxmd.com/read/27391454/neurotropic-gamma-delta-t-cell-lymphoma-with-cd30-positive-lymphoid-infiltrates
#13
Bryan Gammon, Benjamin R Gammon, Youn H Kim, Jinah Kim
Primary cutaneous gamma-delta T-cell lymphoma (PCGD-TCL) is a clonal proliferation of gamma-delta T cells with a cytotoxic phenotype that is typically characterized by an aggressive clinical course with ulcerative plaques or subcutaneous nodules. In this report, the authors describe a patient who developed an ulcerated tumor on the left upper extremity and painful papules and nodules on the right lower extremity. Interestingly, several of the papulonodules on the right lower extremity underwent spontaneous involution...
September 2016: American Journal of Dermatopathology
https://www.readbyqxmd.com/read/27383201/long-term-clinical-outcomes-of-spinal-accessory-nerve-transfer-to-the-suprascapular-nerve-in-patients-with-brachial-plexus-palsy
#14
Mohammadreza Emamhadi, Babak Alijani, Sasan Andalib
BACKGROUND: For the reconstruction of brachial plexus lesions, restoration of elbow flexion and shoulder function is fundamental and is achieved by dual nerve transfers. Shoulder stabilization and movement are crucial in freedom of motion of the upper extremity. In patients with C5-C6 brachial plexus injury, spinal accessory nerve transfer to the suprascapular nerve and a fascicle of ulnar nerve to musculocutaneous nerve (dual nerve transfer) are carried out for restoration of shoulder abduction and elbow flexion, respectively...
September 2016: Acta Neurochirurgica
https://www.readbyqxmd.com/read/27191660/interrater-reliability-of-electrodiagnosis-in-neonatal-brachial-plexopathy
#15
Mary Catherine Spires, Spencer M Brown, Kate Wan-Chu Chang, James A Leonard, Lynda J-S Yang
INTRODUCTION: We investigated interrater reliability of overall assessment of nerve root lesions by electrodiagnostic testing (EDX) in neonatal brachial plexus palsy (NBPP). METHODS: Two blinded, board-certified reviewers retrospectively reviewed de-identified EDX data from 37 infants with NBPP for 2005-2012. Only nerve conduction and electromyography needle data were included. The examiners independently assigned 1 of 4 nerve root lesion categories: 1) normal, pre-ganglionic lesion (avulsion), 2) post-ganglionic lesion (rupture), 3) normal, or 4) "unable to determine...
May 18, 2016: Muscle & Nerve
https://www.readbyqxmd.com/read/26991053/a-case-of-relapsing-remitting-facial-palsy-and-ipsilateral-brachial-plexopathy-caused-by-hsv-1
#16
Karl B Alstadhaug, Hanne W Kvarenes, Jan Prytz, Christian Vedeler
The etiologies of Bell's palsy and brachial neuritis remain uncertain, and the conditions rarely co-occur or reoccur. Here we present a woman in her twenties who had several relapsing-remitting episodes with left-sided facial palsy and brachial neuropathy. The episodes always started with painful left-sided oral blisters. Repeat PCRs HSV-1 DNA from oral vesicular lesions were positive. Extensive screening did not reveal any other underlying cause. Findings on MRI T2-weighted brachial plexus STIR images, using a 3...
May 2016: Journal of Clinical Virology: the Official Publication of the Pan American Society for Clinical Virology
https://www.readbyqxmd.com/read/26960326/neurolymphomatosis-in-a-cat
#17
Masashi Sakurai, Kazushi Azuma, Arata Nagai, Toru Fujioka, Yuji Sunden, Akinori Shimada, Takehito Morita
A 9-year-old male mixed breed cat showed chronic progressive neurological symptoms, which are represented by ataxia and seizures. At necropsy, spinal roots and spinal ganglions at the level of sixth cervical nerve to second thoracic nerve were bilaterally swollen and replaced by white mass lesions. Right brachial plexus and cranial nerves (III, V and VII) were also swollen. A mass lesion was found in the right frontal lobe of the cerebrum. Histologically, neoplastic lymphocytes extensively involved the peripheral nerves, and they infiltrated into the cerebral and spinal parenchyma according to the peripheral nerve tract...
July 1, 2016: Journal of Veterinary Medical Science
https://www.readbyqxmd.com/read/26922201/brachial-plexus-tumors-in-a-tertiary-referral-center-a-case-series-and-literature-review
#18
G Millan, D Casal
INTRODUCTION: Brachial plexus (BP) tumors are very rare tumors, with less than 800 cases been described in the literature worldwide since 1970. These tumors often present as local or radicular pain, with scant or no neurological deficits. These symptoms are shared by many other more common rheumatologic diseases, thus making their diagnosis difficult in most cases. Additionally, these tumors often present as lumps and are therefore biopsied, which carries a significant risk of iatrogenic nerve injury...
October 2015: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/26904368/unusual-brachial-plexus-lesion-hematoma-masquerading-as-a-peripheral-nerve-sheath-tumor
#19
Khaled M Krisht, Michael Karsy, Lubdha M Shah, Meic H Schmidt, Andrew T Dailey
BACKGROUND: Malignant peripheral nerve sheath tumors (MPNSTs) of the brachial plexus have unique radiographic and clinical findings. Patients often present with progressive upper extremity paresthesias, weakness, and pain. On magnetic resonance (MR) imaging, lesions are isointense on T1-weighted and hyperintense on T2-weighted sequences, while also demonstrating marked enhancement on MR studies with gadolinium diethylenetriamine pentaacetic acid. On the basis of their characteristic MR imaging features and rapid clinical progression, two brachial plexus lesions proved to be organizing hematomas rather than MPNST...
2016: Surgical Neurology International
https://www.readbyqxmd.com/read/26890860/extra-and-intramuscular-distribution-of-the-thoracodorsal-nerve-with-regard-to-nerve-reconstruction-surgeries
#20
Ajith Malalasekera, Thushan Beneragama, Sivasuganthan Kanesu, Vithoosan Sahathevan, Rohan Jayasekara
Background The lateral branch of the thoracodorsal nerve (LBTN) is used for nerve transfer in facial, musculocutaneous, axillary nerve injuries and for irreparable C5, C6 spinal nerve lesions and accessory nerve defects. For a successful surgical outcome, the nerve to be used in nerve transfer should be of adequate length and thickness for nerve coaptation. Aim Our objective was to evaluate the length of the LBTN that could be obtained as a donor nerve, externally and within the muscle. Method Eight (8) cadavers with intact upper limbs and thorax which could be positioned in the anatomical position were selected for the study...
June 2016: Journal of Reconstructive Microsurgery
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