Clinical Aspects of Entrapment Neuropathies of Peripheral Nerves

Mumenthaler, M

doi:10.1007/978-3-642-75611-5_43

Cited by 5 publications

(13 citation statements)

References 48 publications

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“…With early and severe muscle wasting, the prospect of useful power returning can be poor 1. These cases are especially prone to late complications of scapulocostal pain syndromes, which can leave the patient with considerable morbidity 55. It might therefore be justifiable to identify these cases early with a view to therapeutic intervention such as intravenous immunoglobulin, which has been shown to be useful in other focal demyelinating diseases of the peripheral nerve 28…”

Section: Discussionmentioning

confidence: 99%

Motor root conduction in neuralgic amyotrophy: evidence of proximal conduction block

Mills

1999

Journal of Neurology, Neurosurgery & Psychiatry

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Objective-To determine the presence and role of proximal conduction block in neuralgic amyotrophy. Methods-Percutaneous electrical stimulation of cervical roots and brachial plexus was employed in eight patients with neuralgic amyotrophy. Root to Erb's point compound muscle action potential amplitude ratios for abductor digiti minimi, extensor digitorum communis, biceps, and deltoid muscles were compared with results obtained from 10 healthy controls. Results-Conduction block in the nerve to one muscle was found in three of eight patients (38%) suggesting focal proximal demyelination. Repeat studies showed axonal degeneration, resolution, and persistence of conduction block in these three patients respectively. Conclusion-Focal conduction block plays a significant part in the pathogenesis of neuralgic amyotrophy, which is generally regarded as an axon loss process. Therapeutic intervention should be directed to patients with persistent conduction block, with the aim of eradicating the block and possibly minimising subsequent axon loss. (J Neurol Neurosurg Psychiatry 1999;66:586-590)

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Section: Discussionmentioning

confidence: 99%

Motor root conduction in neuralgic amyotrophy: evidence of proximal conduction block

Mills

1999

Journal of Neurology, Neurosurgery & Psychiatry

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“…Quando há progressão da afecção, a dor torna-se constante e intensifica-se. As alterações cutâneas sensitivas, motoras e dos reflexos miotáticos, a atrofia muscular e os exames de imagem e de laboratório possibilitam o diagnóstico 5,30 .…”

Section: Lesões Plexularesunclassified

“…Radiculopatias de L2 a L4 podem causar dor referida na região inguinal e face anterior da coxa. O exame neurológico normal e a geração da dor durante a extensão da coxa possibilitam o diagnóstico 30 .…”

Section: Neuropatiasunclassified

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Dor nos membros inferiores

Teixeira

Yeng

Fernandes

et al. 2001

Rev. Med. (São Paulo)

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Dor é fenômeno comum nos membros inferiores. Várias são as razões de sua ocorrência. Afecções músculo-esqueléticas,dermatológicas, vasculares, neuropáticas ou viscerais abdominais. Destacam-se as músculo-esqueléticas, especialmente as síndromes dolorosas miofasciais. Os dados de história e de exame clínico e, quando necessário, os exames subsidiários possibilitam diagnóstico preciso na maioria dos casos. O tratamento da condição primária e o uso de medidas analgésicas especialmente de medicamentos antiinflamatórios ou opióides, psicotrópicos, medicina física, psicoterapia e, quando necessário, intervenções neurocirúrgicas funcionais aliviam a dor na maioria dos casos.

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“…The condition accounts for < 1% of adults presenting with lower extremity pain. 1 2 As a result, the symptoms may be mistaken for other more commonly encountered disorders affecting this region, such as patellofemoral pain syndrome, knee joint osteoarthritis, medial meniscus injuries, pes anserine bursitis, and medial collateral ligament injuries. 3 4 Failure to recognize this condition can result in delayed diagnosis and the patient may undergo unnecessary investigations or treatment.…”

Section: Introductionmentioning

confidence: 99%

Entrapment Neuropathy of the Infrapatellar Branch of the Saphenous Nerve: Treated by Partial Division of Sartorius

Hosahalli

Sierakowski

Venkatramani

et al. 2017

IJOO

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We describe a case of entrapment neuropathy of the infrapatellar branch of the saphenous nerve as it pierces sartorius muscle. This is a rare cause of anteromedial knee pain that is easily overlooked and may be mistaken as arising from other anatomical structures in that region. The pain was successfully treated by partially dividing the sartorius muscle and translocating the nerve away from the site of entrapment. It is important to consider entrapment neuropathy of the infrapatellar branch of the saphenous nerve as a differential diagnosis when assessing a patient with anteromedial knee pain.

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Clinical Aspects of Entrapment Neuropathies of Peripheral Nerves

Cited by 5 publications

References 48 publications

Motor root conduction in neuralgic amyotrophy: evidence of proximal conduction block

Motor root conduction in neuralgic amyotrophy: evidence of proximal conduction block

Dor nos membros inferiores

Entrapment Neuropathy of the Infrapatellar Branch of the Saphenous Nerve: Treated by Partial Division of Sartorius

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