Hereditary neuropathy with liability to pressure palsies in children

Felice, Kevin J.; Leicher, Carol R.; DiMario, Francis J.

doi:10.1016/s0887-8994(99)00086-7

Cited by 12 publications

(8 citation statements)

References 10 publications

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“…Less commonly, other cases have presented with a sciatic neuropathy or brachial plexopathy type of findings [30,31]. Involvement of other nerves such as median, long thoracic, anterior interosseus or even facial nerve has been described [26,32,33]. A few other very rare presentations have been recorded.…”

Section: Discussionmentioning

confidence: 99%

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Hereditary neuropathy with liability to pressure palsies in childhood: Case series and literature update

Chrestian

McMillan

Poulin

et al. 2015

Neuromuscular Disorders

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Section: Discussionmentioning

confidence: 99%

“…One child presented with toe walking, pain and stiffness [13]. Another report describes children with focal right biceps atrophy or focal spinal accessory nerve involvement [26]. Very early onset before the age of 2 years with profound hypotonia and gross motor delay has been also reported [27].…”

Section: Discussionmentioning

confidence: 99%

Hereditary neuropathy with liability to pressure palsies in childhood: Case series and literature update

Chrestian

McMillan

Poulin

et al. 2015

Neuromuscular Disorders

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“…The main extrinsic cause of our patient's periscapular neuropathies may have been the manner of the physical therapy that was performed—similar to stretch injuries reported in therapy and nontherapy circumstances [ 25 , 33 , 34 , 53 – 55 ]. The diagnosis of EDS along with HNPP likely increased the propensity for nerve trauma [ 12 , 18 , 21 , 22 , 43 , 46 , 56 , 57 ].…”

Section: Discussionmentioning

confidence: 99%

“…RMM hypothesized that although EDS likely contributed to her symptoms by enhancing the possibility of tissue stretching during the TSA surgery and/or in subsequent physical therapy, the neuropathologies were not likely solely caused by EDS. Multiple mononeuropathy was then considered an underlying neurological condition, with the possible etiology of “hereditary neuropathy with liability to pressure palsies” (HNPP) in addition to the patient's EDS [ 21 – 24 ]. RMM had seen the patient three years prior.…”

Section: Case Reportmentioning

confidence: 99%

Complex Scapular Winging following Total Shoulder Arthroplasty in a Patient with Ehlers-Danlos Syndrome

Skedros

Phippen

Langston

et al. 2015

Case Reports in Orthopedics

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This is a unique case of a female patient with features of classical and hypermobile types of Ehlers-Danlos syndrome (EDS) who developed complex scapular winging from spinal accessory and long thoracic neuropathies. These neurological problems became manifest after an uncomplicated total shoulder arthroplasty (TSA). The patient had a complex postoperative course with extensive work-up in addition to revision shoulder surgery and manipulations to treat shoulder stiffness. It was eventually suspected that the periscapular nerve impairments occurred during physical therapy sessions after her TSA. This interpretation was further supported by genetic evidence that, in addition to EDS, the patient had an unrecognized genetic propensity for nerve palsies from stretch or pressure (“hereditary neuropathy with liability to pressure palsies” (HNPP)). By two years after the TSA the neuropathies had only partially improved, leaving the patient with persistent scapular winging and shoulder weakness. With this case we alert surgeons and physical therapists that patients with EDS can have not only a complicated course after TSA, but rare concurrent conditions that can further increase the propensity of neurological injuries that result in compromised shoulder function.

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“…Rarely, mononeuropathy of the accessory nerve may be a manifestation of hereditary neuropathy with liability to pressure palsies (HNPP). [ 33 ] Another LCN involved in HNPP is the hypoglossal nerve. [ 34 ] The affection of the hypoglossal nerve has been also reported in other types of hereditary neuropathy.…”

Section: Disorders Of Lower Cranial Nervesmentioning

confidence: 99%

Disorders of the lower cranial nerves

Finsterer

Grisold

2015

Journal of Neurosciences in Rural Practice

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Lesions of the lower cranial nerves (LCN) are due to numerous causes, which need to be differentiated to optimize management and outcome. This review aims at summarizing and discussing diseases affecting LCN. Review of publications dealing with disorders of the LCN in humans. Affection of multiple LCN is much more frequent than the affection of a single LCN. LCN may be affected solely or together with more proximal cranial nerves, with central nervous system disease, or with nonneurological disorders. LCN lesions have to be suspected if there are typical symptoms or signs attributable to a LCN. Causes of LCN lesions can be classified as genetic, vascular, traumatic, iatrogenic, infectious, immunologic, metabolic, nutritional, degenerative, or neoplastic. Treatment of LCN lesions depends on the underlying cause. An effective treatment is available in the majority of the cases, but a prerequisite for complete recovery is the prompt and correct diagnosis. LCN lesions need to be considered in case of disturbed speech, swallowing, coughing, deglutition, sensory functions, taste, or autonomic functions, neuralgic pain, dysphagia, head, pharyngeal, or neck pain, cardiac or gastrointestinal compromise, or weakness of the trapezius, sternocleidomastoid, or the tongue muscles. To correctly assess manifestations of LCN lesions, precise knowledge of the anatomy and physiology of the area is required.

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Hereditary neuropathy with liability to pressure palsies in children

Cited by 12 publications

References 10 publications

Hereditary neuropathy with liability to pressure palsies in childhood: Case series and literature update

Hereditary neuropathy with liability to pressure palsies in childhood: Case series and literature update

Complex Scapular Winging following Total Shoulder Arthroplasty in a Patient with Ehlers-Danlos Syndrome

Disorders of the lower cranial nerves

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