19,940 results match your criteria Mononeuritis Multiplex


Ultrasound in the Diagnosis and Monitoring of Amyotrophic Lateral Sclerosis: A Review.

Muscle Nerve 2019 Apr 16. Epub 2019 Apr 16.

Department of Neurology, Penn State Hershey Medical Center, Hershey, PA.

Neuromuscular ultrasound is complementary to electrodiagnostic (EDx) testing and is useful in enhancing the diagnosis of mononeuropathies, peripheral nerve trauma and demyelinating polyneuropathies. There is increasing interest in using ultrasound both to aid in the diagnosis of amyotrophic lateral sclerosis (ALS) and to monitor its progression. In this review, the relevant literature on ultrasound in ALS is reviewed. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/mus.26487
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http://dx.doi.org/10.1002/mus.26487DOI Listing
April 2019
1 Read

Responsiveness of the modified lower extremity functional scale in patients with low back pain and sciatica: A comparison with pain intensity and the modified Roland-Morris Disability Scale.

Medicine (Baltimore) 2019 Apr;98(14):e15105

Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan, ROC.

We tested the responsiveness of the modified Lower Extremity Functional Scale (LEFS) for patients with low back pain (LBP) and sciatica and made a comparison with the modified Roland-Morris Disability Scale for sciatica (RMS-L) and self-reported pain intensity measured by visual analogue scale (VAS).One hundred and forty-eight participants were recruited from 2 university hospitals. The evaluation included demographic data, LBP history, and the modified LEFS, RMS-L, and VAS, with a follow-up one month later. Read More

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http://dx.doi.org/10.1097/MD.0000000000015105DOI Listing
April 2019
2 Reads

Quantitative muscle ultrasound in upper extremity mononeuropathies.

Muscle Nerve 2019 Apr 3. Epub 2019 Apr 3.

Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, Massachusetts, USA.

Introduction: We assessed the potential use of quantitative ultrasound (QUS) in the evaluation hand muscles affected by upper extremity mononeuropathies.

Methods: The gray scale levels (GSLs) of abductor pollicis brevis (APB), abductor digiti minimi (ADM), and first dorsal interosseous (FDI) of 30 healthy and 30 upper extremity mononeuropathy patients were measured and compared with standard electrophysiological values.

Results: Mean GSL was elevated in 34 APBs of carpal tunnel syndrome patients and 18 FDIs of ulnar neuropathy patients (e. Read More

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http://dx.doi.org/10.1002/mus.26481DOI Listing
April 2019
2 Reads

[Carpal tunnel syndrome secondary to a rare anatomical variation of the median nerve].

Pan Afr Med J 2018 20;31:39. Epub 2018 Sep 20.

Traumatologie-Orthopédie Aile 4, CHU Ibn Rochd, Casablanca, Maroc.

Carpal tunnel syndrome is one of the the most common reasons for consultation in hand surgery with an annual incidence of 300 per 100 000 inhabitants and, in France, of 80 000 surgical interventions. In most cases, carpal tunnel syndrome is idiopathic occurring without a recognizable cause. However, beyond these forms, the merging of several mechanisms can explain the cause-and-effect relationship of this pathology . Read More

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http://dx.doi.org/10.11604/pamj.2018.31.39.15526DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430855PMC
April 2019
1 Read

Examination of the Hand and Wrist.

N Engl J Med 2019 Mar;380(12):e15

From St. Elizabeth's Medical Center, Brighton, MA (C.S.D.); Tufts University School of Medicine (C.S.D.), Beth Israel Deaconess Medical Center (C.C.S.), and Harvard Medical School (C.C.S.) - all in Boston; and St. Mary's Medical Center, San Francisco (W.K.W.).

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http://www.nejm.org/doi/10.1056/NEJMvcm1407111
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http://dx.doi.org/10.1056/NEJMvcm1407111DOI Listing
March 2019
5 Reads

A case of recurrent Mikulicz's disease with mononeuritis multiplex.

Cent Eur J Immunol 2018 31;43(4):490-494. Epub 2018 Dec 31.

Department of Neurology, Tokai University School of Medicine, Isehara, Japan.

We report an 82-year-old man with recurrence of Mikulicz's disease accompanied with mononeuritis multiplex. On admission, both upper eyelids, the salivary gland, the dorsum of the left hand and both legs were swollen. Neurological examination showed motor weakness of distal limbs (manual muscle testing 3/5) and decreased touch, pain and vibration sensation of the dorsum of the left hand and both legs. Read More

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http://dx.doi.org/10.5114/ceji.2018.81349DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6384422PMC
December 2018
1 Read

Ultrasound-guided decompression surgery of the distal tarsal tunnel: a novel technique for the distal tarsal tunnel syndrome-part III.

Surg Radiol Anat 2019 Mar 23;41(3):313-321. Epub 2019 Feb 23.

Division of Clinical and Functional Anatomy, Department of Anatomy, Histology and Embryology, Medical University of Innsbruck (MUI), Müllerstr. 59, 6020, Innsbruck, Austria.

Background: The aim of this study was to provide a safe ultrasound-guided minimally invasive surgical approach for a distal tarsal tunnel release concerning nerve entrapments.

Methods And Results: The study was carried out on ten fresh-frozen feet. All of them have been examined by high-resolution ultrasound at the distal tarsal tunnel. Read More

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http://dx.doi.org/10.1007/s00276-019-02196-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6420489PMC
March 2019
6 Reads

Rare presentation of granulomatosis with polyangiitis.

BMJ Case Rep 2019 Feb 22;12(2). Epub 2019 Feb 22.

Department of Internal Medicine, New York-Presbyterian/Queens, Flushing, New York, USA.

A 62-year-old man with no pertinent medical history presented with lower extremity weakness and worsening distal fingertips and toe cyanosis/gangrene. In the outpatient setting, he was initially being treated for Raynaud's phenomenon with a calcium channel blocker. On presentation, the patient had elevated inflammatory markers and white blood cell count. Read More

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http://dx.doi.org/10.1136/bcr-2018-227218DOI Listing
February 2019
2 Reads

Differential Diagnosis of Churg-Strauss Syndrome with Tingling Sensation and Weakness of the Lower Extremities.

Anesth Pain Med 2018 Dec 28;8(6):e84179. Epub 2018 Nov 28.

Department of Internal Medicine, Division of Rheumatology, Jeju National University Hospital, Jeju, Korea.

Introduction: Churg-Strauss syndrome (CSS; or eosinophilic granulomatosis with polyangiitis) is an extremely rare autoimmune condition characterized by hypereosinophilia and vasculitis of small or medium-sized blood vessels, occurring in patients with asthma and allergic rhinitis.

Case Presentation: A 47-year-old man (height, 175.8 cm and weight, 74. Read More

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http://dx.doi.org/10.5812/aapm.84179DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347737PMC
December 2018
4 Reads

Neurologic manifestations associated with cryoglobulinemia: A single center experience.

J Neurol Sci 2019 Mar 25;398:121-127. Epub 2019 Jan 25.

Department of Neurology, Cleveland Clinic Foundation, Cleveland, OH 44195, United States. Electronic address:

Introduction: Limited information is available describing the spectrum of neurological complications of cryoglobulinemia.

Methods: Single center retrospective review of patients with neurologic symptoms and elevated serum cryoglobulins, with their potential association being classified as definite, possible, or unlikely using defined criteria.

Results: Among 492 patients, 131 (87 classified as definite and 44 as possible) had neurologic symptoms associated with cryoglobulinemia. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0022510X193005
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http://dx.doi.org/10.1016/j.jns.2019.01.041DOI Listing
March 2019
11 Reads

Entrapment Neuropathies of the Upper Extremity.

Med Clin North Am 2019 Mar;103(2):357-370

Department of Neurology, Massachusetts General Hospital, 55 Fruit Street, WACC 739B, Boston, MA 02114, USA. Electronic address:

Upper extremity entrapment neuropathies are common and can cause pain, sensory loss, and muscle weakness that lead to functional disability. In this article, the authors review common entrapment neuropathies of the upper extremities, including median neuropathy at the wrist (carpal tunnel syndrome), ulnar neuropathy at the elbow, and radial neuropathy. The authors discuss the pathophysiology of nerve compression and typical etiologies, as well as strategies for differentiating between common mimics such as cervical radiculopathy and for selecting between various treatment modalities. Read More

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http://dx.doi.org/10.1016/j.mcna.2018.10.012DOI Listing
March 2019
2 Reads

Comparison of Surgical Encounter Direct Costs for Three Methods of Cubital Tunnel Decompression.

Plast Reconstr Surg 2019 02;143(2):503-510

Salt Lake City, Utah From the Department of Orthopaedics, Division of Public Health, and the Department of Pediatric Research Enterprise, School of Medicine, University of Utah.

Background: In situ decompression, subcutaneous transposition, and submuscular transposition for cubital tunnel syndrome have historically yielded similar outcomes. The authors' null hypothesis is that no differences exist in surgical encounter total direct costs for in situ decompression, subcutaneous transposition, and submuscular transposition.

Methods: Adult patients treated surgically for cubital tunnel syndrome by four fellowship-trained hand surgeons between August of 2011 and December of 2016 were identified by CPT code (64718) at their tertiary academic institution. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005196DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352723PMC
February 2019
2 Reads

Clinical, electrophysiological and laboratory parameters, and outcome in patients with biopsy proven systemic and nonsystemic vasculitic neuropathy.

Neurol India 2019 Jan-Feb;67(Supplement):S62-S70

Department of Neurochemistry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.

Aim: To describe the clinical and laboratory findings of patients with biopsy proven vasculitic neuropathy.

Introduction: Peripheral neuropathies form one of the most common disorders of the nervous system. However, more than 50% of them are labelled as 'idiopathic' and, therefore, treatment options become less. Read More

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http://dx.doi.org/10.4103/0028-3886.250709DOI Listing
January 2019
3 Reads

Silent acute myocarditis in eosinophilic granulomatosis with polyangiitis.

Acta Reumatol Port 2018 Oct-Dec;43(4):309-313

São João Hospital Centre.

Eosinophilic granulomatosis with polyangiitis is a rare multisystemic disorder, characterized by necrotizing vasculitis affecting small to medium-sized vessels, associated with asthma and eosinophilia. Cardiac involvement is the most important predictor of mortality and it seems to be more frequent in anti-neutrophil cytoplasmic antibodies-negative patients. Cardiomyopathy and congestive heart failure can occur but a significant proportion of patients are asymptomatic. Read More

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January 2019
4 Reads

Sericin silk protein in peripheral nervous repair associated with the physical exercise of swimming in Wistar rats.

Neurol Res 2019 Apr 13;41(4):326-334. Epub 2019 Jan 13.

a Bioscience and Health Program , State University of the West of Paraná , Cascavel , Brazil.

Objective: To verify the action of sericin associated to swim exercise with overload, on sciatic nerve repair in Wistar rats, after 22 days of nerve compression.

Methods: Forty animals been composed of five groups: control, injury, injury-sericin, injury-swimming and injury-sericin-swimming. During the lesion procedure, sericin, in hydrolyzed form, applied directly to the injury in the injury-sericin and injury-sericin-swimming groups. Read More

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http://dx.doi.org/10.1080/01616412.2018.1564187DOI Listing
April 2019
2 Reads

Acute atraumatic carpal tunnel syndrome due to flexor tendon rupture following palmar plate osteosynthesis in a patient taking rivaroxaban.

Arch Orthop Trauma Surg 2019 Mar 10;139(3):435-438. Epub 2019 Jan 10.

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Jena, Am Klinikum 1, 07747, Jena, Germany.

Introduction: Few case reports describe the development of a hematoma under oral anticoagulation as the cause of an atraumatic carpal tunnel syndrome.

Case Report: A 76 years old woman presented an acute atraumatic carpal tunnel syndrome of her left hand under oral anticoagulation with rivaroxaban due to atrial fibrillation. 12 years ago, palmar plate osteosynthesis of a distal radius fracture had been performed on the affected wrist. Read More

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http://dx.doi.org/10.1007/s00402-019-03116-8DOI Listing
March 2019
4 Reads

Hand tendinopathy risk factors in Taiwan: A population-based cohort study.

Medicine (Baltimore) 2019 Jan;98(1):e13795

Department of Nursing, Chung Hwa University of Medical Technology, Tainan, Taiwan.

De Quervain's disease, carpal tunnel syndrome (CTS), and trigger finger (digit) are three common pathological conditions of the hand. They are considered overuse syndromes and occur predominantly in females. The prevalence rate and cause-specific risks of these three tendinopathies have not yet been clarified. Read More

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http://dx.doi.org/10.1097/MD.0000000000013795DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6344158PMC
January 2019
2 Reads

Persistent Median Artery as an Unusual Finding in the Carpal Tunnel: Its Contribution to the Blood Supply of the Hand and Clinical Significance.

Med Sci Monit 2019 Jan 2;25:32-39. Epub 2019 Jan 2.

Department of Normal and Clinical Anatomy, Interfaculty Chair of Anatomy and Histology, Medical University of Łódź, Łódź, Poland.

BACKGROUND Knowledge of the variable relation of the persistent median artery (PMA) to the median nerve and its contribution to the formation of the superficial palmar arch is of great clinical significance. This study presents a proposal of specific variables which might be introduced to characterize the PMA in the wrist region. MATERIAL AND METHODS One hundred and twenty-five randomly selected, isolated upper limbs fixed in 10% formalin solution were subjected to anatomical dissection. Read More

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http://dx.doi.org/10.12659/MSM.912269DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327784PMC
January 2019
3 Reads

MiR-34c Ameliorates Neuropathic Pain by Targeting NLRP3 in a Mouse Model of Chronic Constriction Injury.

Neuroscience 2019 02 26;399:125-134. Epub 2018 Dec 26.

Department of Critical Care Medicine, Shanghai Tenth People's Hospital, Tongji University School of Medicine, No. 301 Middle Yanchang Road, Jing'an District, Shanghai 200072, China. Electronic address:

MicroRNAs have been reported to be an important pathophysiological factor in neuropathic pain. However, the potential mechanism through which miRNAs function in neuropathic pain remains unclear. The purpose of this study was to explore the potential role of mir-34c in neuropathic pain in a mouse model of chronic constriction injury (CCI). Read More

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http://dx.doi.org/10.1016/j.neuroscience.2018.12.030DOI Listing
February 2019
4 Reads

Carpal tunnel syndrome caused by synovial osteochondromatosis of the finger flexor tendon: A case report.

Medicine (Baltimore) 2018 Dec;97(52):e13943

Department of Rehabilitation Medicine.

Rationale: Carpal tunnel syndrome (CTS) is the most common peripheral nerve neuropathy resulting from compression of the median nerve as it traverses the carpal tunnel. The pathophysiology of this condition is multifactorial, and majority of cases of CTS are idiopathic. We report cases of CTS caused by synovial osteochondromatosis (SOC), which has rarely been reported. Read More

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http://dx.doi.org/10.1097/MD.0000000000013943DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314781PMC
December 2018
2 Reads

Histopathologic Evaluation of Flexor Tenosynovium in Recurrent Carpal Tunnel Syndrome.

Plast Reconstr Surg 2019 01;143(1):169-175

Phoenix, Ariz. From the Departments of Orthopedic Surgery and Laboratory Medicine and Pathology, Mayo Clinic Hospital.

Background: The authors' purpose was to evaluate the histopathology of flexor tenosynovium in true, idiopathic recurrent carpal tunnel syndrome for the presence of abnormal inflammatory or pathologic findings that might explain causation or that differ from those previously described for primary, idiopathic carpal tunnel syndrome.

Methods: Thirty-five patients (19 women and 16 men; mean age, 72 years) underwent open revision carpal tunnel release a mean 13 years (range, 0.5 to 30 years) after primary carpal tunnel release. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005090DOI Listing
January 2019
17 Reads

Acetyl-L-Carnitine to Enhance Nerve Regeneration in Carpal Tunnel Syndrome: A Double-Blind, Randomized, Controlled Trial.

Plast Reconstr Surg 2019 Jan;143(1):111e-120e

Edmonton, Alberta, Canada; and Kitakyushu, Japan From the Department of Surgery, Division of Plastic Surgery, and the Department of Medicine, Division of Physical Medicine and Rehabilitation, University of Alberta; and the Department of Physical Medicine and Rehabilitation, University of Occupational and Environmental Health.

Background: Carpal tunnel syndrome is very common. Although surgery is effective in mild and moderate cases, recovery is often incomplete in severe cases. Therefore, adjuvant therapy to improve nerve regeneration in those patients is much needed. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005089DOI Listing
January 2019
3 Reads

The cubital tunnel syndrome caused by intraneural ganglion cyst of the ulnar nerve at the elbow: a case report.

BMC Neurol 2018 Dec 22;18(1):217. Epub 2018 Dec 22.

Department of Hand Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, #79 Qingchun Road, Hangzhou, Zhejiang Province, 310003, People's Republic of China.

Background: Cubital tunnel syndrome is common nerve compression syndrome among peripheral nerve compression diseases. However, the syndrome caused by intraneural ganglion cysts has been rarely reported. Medical approaches, like ultrasound-guided aspiration and open surgical treatment remain to be discussed. Read More

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https://bmcneurol.biomedcentral.com/articles/10.1186/s12883-
Publisher Site
http://dx.doi.org/10.1186/s12883-018-1229-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303969PMC
December 2018
15 Reads

Intraneural Ewing Sarcoma of Fibular Nerve: Case Report, Radiologic Findings and Review of Literature.

World Neurosurg 2019 Mar 20;123:212-215. Epub 2018 Dec 20.

Neurosurgery Unit, Department of Neurosciences, University of Turin, Turin, Italy.

Background: Intraneural Ewing sarcoma (ES) was first described in 1918 by Stout in a tumor of the ulnar nerve. These tumors are in the category of ES family of tumors, together with ES of bone, extraosseous ES, and primitive neuroectodermal tumor. ES typically occurs in the second decade of life; only 20% of cases affect elder people. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.12.043DOI Listing
March 2019
8 Reads

Foot drop post varicella zoster virus.

BMJ Case Rep 2018 Nov 28;11(1). Epub 2018 Nov 28.

Physiotherapy Outpatient Department, University Hospitals of Derby & Burton NHS Foundation Trust, Derby, UK.

Leg pain and weakness can often be seen in a musculoskeletal physiotherapy outpatient setting. While the differential diagnoses for neuropathic pain and weakness is often spine related, this unusual cause for polyradiculopathy is less commonly seen. Shingles is not something routinely seen in a physiotherapy department but is usually associated with skin eruptions and pain but less so with motor loss. Read More

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http://dx.doi.org/10.1136/bcr-2018-226273DOI Listing
November 2018
2 Reads

Kynurenic acid and zaprinast diminished CXCL17-evoked pain-related behaviour and enhanced morphine analgesia in a mouse neuropathic pain model.

Pharmacol Rep 2019 Feb 6;71(1):139-148. Epub 2018 Oct 6.

Department of Pain Pharmacology, Institute of Pharmacology, Polish Academy of Sciences, Kraków, Poland. Electronic address:

Background: The G protein-coupled receptor 35 (GPR35), is considered important for nociceptive transmission, as suggested by accumulating evidence. This receptor was discovered in 1998; however, a lack of pharmacological tools prevented a complete understanding of its function and how to exploit it therapeutically. We studied the influence of CXCL17, kynurenic acid and zaprinast on nociceptive transmission in naïve and neuropathic mice. Read More

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http://dx.doi.org/10.1016/j.pharep.2018.10.002DOI Listing
February 2019

Compressive radial neuropathy by a synovial cyst during pregnancy: A clinical case report.

Medicine (Baltimore) 2018 Dec;97(49):e13455

Department of Physical Medicine and Rehabilitation, Tung's Taichung Metroharbor Hospital, Taichung, Taiwan.

Rationale: Compressive radial neuropathy by a synovial cyst in the radial tunnel during pregnancy is a rare occurrence. The management of radial nerve compression caused by a synovial cyst in a pregnant patient is a surgical dilemma owing to the fetal and maternal risks of treatment.

Patient Concerns And Diagnosis: A 37-year-old pregnant woman presented with progressive forearm pain at the gestational age of 12 weeks. Read More

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http://dx.doi.org/10.1097/MD.0000000000013455DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310501PMC
December 2018
10 Reads

[A Case of Sjögren's Syndrome with Multiple Stenoses of the Cerebral Arteries and Transient Neurological Symptoms and Signs].

Brain Nerve 2018 Dec;70(12):1389-1396

Department of Neurology, Japanese Red Cross Yamaguchi Hospital.

A 31-year-old woman was admitted to the hospital after several episodes of transient numbness in her fingers and dysarthria. No neurological symptoms and signs were observed in this patient on admission; however, blood tests revealed elevated amylase and immunoglobulin G levels, an increased erythrocyte sedimentation rate, and positive anti-Sjögren's-syndrome (SjS)-related antigen A antibodies. The cerebrospinal fluid examination revealed a slight increase in the cell count and protein content. Read More

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http://dx.doi.org/10.11477/mf.1416201198DOI Listing
December 2018
8 Reads

The relationship between type 1 IFN and vasculopathy in anti-MDA5 antibody-positive dermatomyositis patients.

Rheumatology (Oxford) 2018 Dec 11. Epub 2018 Dec 11.

Department of Rheumatology, Faculty of Medicine, Saga University, Saga, Japan.

Objectives: Based on the antibody profiles of inflammatory myositis patients, we investigated the type 1 IFN (T1-IFN) signature in serum and DM skin to determine the relationship between T1-IFN and vasculopathy in anti-melanoma differentiation-associated 5 gene (MDA5) antibody-positive DM patients.

Methods: We examined 47 patients with new-onset inflammatory myositis. We divided them into three groups: the anti-MDA5 antibody-positive patients (MDA5 group, n = 16), the anti-aminoacyl-tRNA synthetase antibody-positive patients (aminoacyl-tRNA synthetase group, n = 12), and the double-negative patients (n = 19). Read More

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https://academic.oup.com/rheumatology/advance-article/doi/10
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http://dx.doi.org/10.1093/rheumatology/key386DOI Listing
December 2018
23 Reads

Cold effect in median nerve conductions in clinical carpal tunnel syndrome with normal nerve conduction studies.

J Clin Neurosci 2019 Mar 8;61:102-105. Epub 2018 Dec 8.

Department of Neurology, Kirikkale University, Faculty of Medicine, Yenişehir Mahallesi, Ankara Road 7.Km., Kırıkkale Üniversitesi Kampüsü, 71450 Yahşihan, Kırıkkale, Turkey. Electronic address:

Clinical diagnosis of carpal tunnel syndrome (CTS) is confirmed by nerve conduction studies (NCS). In some cases, NCS may be normal. We aimed to demonstrate changes of distal motor latency (DML) and nerve conduction velocity (NCV) pathology of demyelination in entrapment neuropathy with cold application in case of clinical CTS with normal NCS. Read More

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http://dx.doi.org/10.1016/j.jocn.2018.10.133DOI Listing
March 2019
3 Reads

Extra-tunnel Compression Mimicking Tarsal Tunnel Syndrome: Ultrasound Imaging for a Plantar Ganglion Cyst.

Med Ultrason 2018 Dec;20(4):540-541

Department of Physical and Rehabilitation Medicine Hacettepe University Medical School, Ankara, Turkey.

We reported a 43-year-old man with right-foot numbness under the tentative diagnosis of tarsal tunnel syndrome. The initial ultrasound examination did not identify any remarkable findings at the level of the medial malleolus. Owing to the failure of conservative treatments, he was referred for US-guided injection of the tibial nerve. Read More

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http://dx.doi.org/10.11152/mu-1788DOI Listing
December 2018
1 Read

Impact of Economic Downturn on the Surgical Volumes of Common Hand Procedures.

Plast Reconstr Surg 2019 02;143(2):340e-349e

Ann Arbor, Mich.; Nagoya, Japan; and Taoyuan, Taiwan From the Department of Surgery, Section of Plastic Surgery, University of Michigan, the University of Michigan Medical School; the Department of Hand Surgery, Nagoya University; and the Division of Rheumatology, Allergy and Immunology and the Center for Big Data Analytics and Statistics, Chang Gung Memorial Hospital.

Background: Economic conditions affect surgical volumes, particularly for elective procedures. In this study, the authors aimed to identify the effects of the 2008 U.S. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005260DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349518PMC
February 2019
2 Reads

Epidemiology and etiology of secondary piriformis syndrome: A single-institution retrospective study.

J Clin Neurosci 2019 Jan 24;59:209-212. Epub 2018 Oct 24.

Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA. Electronic address:

Piriformis syndrome (PS) is a rare etiology of extra-spinal sciatica in which pathologies associated with or around the piriformis muscle (PM) irritate the adjacent sciatic nerve (SN), however, there is scarcity in the literature regarding its exact etiologies, thus, we performed a retrospective study to elucidate the epidemiology of PS and assess various causes of the syndrome. Our study included patients assessed at our institution who presented with sciatica of non-spinal origin between May 2014 and December 2015. Radiology reports of all patients who received pelvic MRI were examined for positive findings involving PM and SN. Read More

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http://dx.doi.org/10.1016/j.jocn.2018.10.069DOI Listing
January 2019
13 Reads

Radicular Pain Syndromes: Cervical, Lumbar, and Spinal Stenosis.

Semin Neurol 2018 12 6;38(6):634-639. Epub 2018 Dec 6.

Department of Neurology, Boston University School of Medicine, Boston University Medical Center, Boston, Massachusetts.

Back pain is a top primary and urgent care complaint; radicular pain can be caused by herniation of the nucleus pulposus (intervertebral disc), spinal stenosis, or degenerative changes to the vertebrae. The focus of this clinical review will be the clinical approach and treatment of lumbar radicular pain, cervical radicular pain, and spinal stenosis. Usually localized through neurological history, exam, and imaging, specific signs and symptoms for lumbar radicular, spinal stenosis, and cervical radicular pain can help determine etiology. Read More

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http://dx.doi.org/10.1055/s-0038-1673680DOI Listing
December 2018
27 Reads

Acupuncture and related interventions for the treatment of symptoms associated with carpal tunnel syndrome.

Cochrane Database Syst Rev 2018 12 2;12:CD011215. Epub 2018 Dec 2.

School of Korean Medicine, Pusan National University, Beom-eu, Meulgeum, Yangsan, Korea, South, 626-870.

Background: Carpal tunnel syndrome (CTS) is a compressive neuropathic disorder at the level of the wrist. Acupuncture and other methods that stimulate acupuncture points, such as electroacupuncture, auricular acupuncture, laser acupuncture, moxibustion, and acupressure, are used in treating CTS. Acupuncture has been recommended as a potentially useful treatment for CTS, but its effectiveness remains uncertain. Read More

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http://dx.doi.org/10.1002/14651858.CD011215.pub2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6361189PMC
December 2018
16 Reads

EMG in piriformis syndrome diagnosis: Reliability of peroneal H-reflex according to results obtained after surgery, Botox injection and medical treatment.

J Clin Neurosci 2019 Jan 28;59:55-61. Epub 2018 Nov 28.

Orthopedic Surgery Department, Sacré-Coeur Hospital, P.O. Box 116, Hazmieh, Lebanon.

Diagnosing piriformis syndrome (PS) throughout the past decades was not that easy, however peroneal H-reflex was proved as reliable test for PS with the change in wave amplitude and delay in conduction as parameters for diagnosis. We interpreted these parameters according to treatment's results carried out for patients presenting clinical PS, aiming to define a threshold value for peroneal H-reflex delay to accurately diagnose. A retrospective mono-centric review of 27 patients, 9 females and 18 males, aged 22-65 years, benefited from peroneal H-reflex test and treated for clinical PS. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09675868183056
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http://dx.doi.org/10.1016/j.jocn.2018.11.007DOI Listing
January 2019
11 Reads

Arthropathy-like findings and a carpal tunnel syndrome as the presenting features of Scheie syndrome: Three cases from the same family.

Turk J Pediatr 2018 ;60(3):344-347

Pediatric Rheumatology, Department of Pediatrics, Faculty of Medicine, Erciyes University, Kayseri, Turkey.

Gökay S, Kardaş F, Kendirci M, Sözeri B. Arthropathy-like findings and a carpal tunnel syndrome as the presenting features of Scheie syndrome: Three cases from the same family. Turk J Pediatr 2018; 60: 344-347. Read More

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http://www.turkishjournalpediatrics.org/doi.php?doi=10.24953
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http://dx.doi.org/10.24953/turkjped.2018.03.020DOI Listing
February 2019
22 Reads

[Mode of median nerve irritation under different wrist forcing postures observed by ultrasonography and foot pressure measurement system].

Zhonghua Yi Xue Za Zhi 2018 Nov;98(43):3490-3495

Institute of Digitized Medicine, Wenzhou Medical University, Zhejiang 325035, China.

To analyze the influence of simulation mouse use motion under different wrist forcing postures on median nerve, tendons and ligaments in the carpal tunnel. From June to November in 2017, a total of 49 healthy volunteers [aged from 18 to 27 years, 24 males (48 cases of hands) and 25 females (50 cases of hands)] were selected in the Institute of Digitized Medicine and First Affiliated Hospital of Wenzhou Medical University.Three hand postures of the volunteers were simultaneously and continuously measured by using LOGIQ E9 ultrasonic diagnostic apparatus and Zebris foot pressure distribution measurement system. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2018.43.006DOI Listing
November 2018
2 Reads

Effects of transcutaneous electrical nerve stimulation in the Management of Post-Injection Sciatic Pain in a non-randomized controlled clinical trial in Nnewi, Nigeria.

BMC Complement Altern Med 2018 Nov 26;18(1):310. Epub 2018 Nov 26.

Department of Medical Rehabilitation, Faculty of Health Sciences and Technology, University of Nigeria|, Enugu Campus, Enugu State, Nigeria.

Background: Many studies on transcutaneous electrical nerve stimulation (TENS) had been undertaken to explore its pain relieving efficiency on several medicals/surgical conditions but none, specifically, had been carried out to determine the effect it has on post-injection sciatic pain (PISP) which comes about from wrong administration of intramuscular pain. This study aims to assess the effects of TENS in the management of PISP.

Methods: A total of 72 PISP subjects comprising 40 test subjects and 32 control subjects participated in a non-randomized controlled clinical trial in the current study. Read More

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http://dx.doi.org/10.1186/s12906-018-2373-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6258320PMC
November 2018
2 Reads

Corrective osteotomy and in situ fusion for late-presenting nonunion of lateral condyle fractures of the humerus in adults.

J Shoulder Elbow Surg 2019 Mar 22;28(3):520-524. Epub 2018 Nov 22.

Orthopaedic and Trauma Surgery Department, Cairo University, Cairo, Egypt. Electronic address:

Background: Late presentation of lateral condylar fractures of the humerus is not an uncommon problem in children, and to lesser extent, in adults. The various surgical interventions for repairing the fracture, correcting the deformity, or even performing anterior transposition of the ulnar nerve as a single procedure or in combination, especially in adults, is still a controversial topic, with a paucity of literature regarding this. There is a risk of loss of the available preoperative range of motion, nonunion, and avascular necrosis. Read More

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http://dx.doi.org/10.1016/j.jse.2018.08.005DOI Listing
March 2019
16 Reads

Early detection of median nerve compression by Electroneurography can improve outcome in children with Mucopolysaccharidoses.

Orphanet J Rare Dis 2018 11 21;13(1):209. Epub 2018 Nov 21.

Department of Pediatric Neurology, CHU Trousseau, APHP, Paris, France.

Background: Carpal tunnel syndrome (CTS) is a common complication of the mucopolysaccharidoses. In severe or attenuated mucopolysaccharidoses patients, clinical symptoms of CTS usually appear at a late stage of median nerve compression. Relying on CTS symptoms is often too late and there is a risk of axonal damage and further irreversible sequelae. Read More

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http://dx.doi.org/10.1186/s13023-018-0937-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249914PMC
November 2018
12 Reads

Observational pilot study of patients with carpal tunnel syndrome treated with Nucleo CMP Forte™.

Pain Manag 2019 Mar 19;9(2):123-129. Epub 2018 Nov 19.

Servicio de Neurología y Neurofisiología, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.

Aim: Carpal tunnel syndrome (CTS) is a very common entrapment neuropathy characterized by pain and paresthesia in the territory of the median nerve. Although this syndrome has a considerable impact on the patient's quality of life, its medical treatment is far from optimal.

Material & Methods: We performed an observational study to evaluate Nucleo CMP Forte in patients with electromyography-confirmed, mild-moderate CTS. Read More

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http://dx.doi.org/10.2217/pmt-2018-0050DOI Listing
March 2019
3 Reads

A new method of measuring the thumb pronation and palmar abduction angles during opposition movement using a three-axis gyroscope.

J Orthop Surg Res 2018 Nov 16;13(1):288. Epub 2018 Nov 16.

Department of Orthopaedic and Spinal Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-4-5, Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.

Background: Thumb opposition is vital for hand function and involves pronation and palmar abduction. The improvement of pronation is often used as one of the evaluation items of the opponensplasty method for severe carpal tunnel syndrome. However, most of the studies used substitution evaluation methods for measurement of the pronation angle. Read More

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http://dx.doi.org/10.1186/s13018-018-0999-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240257PMC
November 2018
3 Reads

Which Factors Affect the Rate of Surgery Performed in Patients with Carpal Tunnel Syndrome?

J Hand Surg Asian Pac Vol 2018 Dec;23(4):562-565

‡ Department of Orthopaedic Surgery, Seoul National University Boramae Medical Center, Seoul, Korea.

Background: Carpal tunnel release is recommended when patients have positive electrophysiologic test and their symptoms are not resolved in spite of conservative treatment. However, only some of them eventually undergo the surgery. The purposes of this study, therefore, were to evaluate the rate of carpal tunnel release performed among the patients with positive electrophysiologic test, and to identify which factors were associated with the rate of the surgery. Read More

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http://dx.doi.org/10.1142/S2424835518500583DOI Listing
December 2018
8 Reads

Carpal Tunnel Syndrome and Flexor Tendon Rupture in the Wrist with Asymptomatic Scapholunate Advanced Collapse: A Case Report.

J Hand Surg Asian Pac Vol 2018 Dec;23(4):589-592

1 Department of Orthopedic Surgery, Hokkaido Saiseikai Otaru Hospital, Otaru, Japan.

We experienced a rare case of carpal tunnel syndrome and rupture of the flexor digitorum profundus tendon to the index finger with a scapholunate advanced collapse wrist. We speculated that the lunate that had extruded into the carpal tunnel compressed the median nerve and caused wear of the flexor tendon following neglected perilunate subluxation. Carpal tunnel release, opponensplasty by palmaris longus tendon transfer, and a bridge graft by a half-slip of the flexor carpi radialis tendon resulted in recovery of pinch function and improvement in numbness of the hand. Read More

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http://dx.doi.org/10.1142/S2424835518720360DOI Listing
December 2018
3 Reads

Effects of Anthropometric Measurements on Treatment Outcomes in Patients with Carpal Tunnel Syndrome.

J Hand Surg Asian Pac Vol 2018 Dec;23(4):528-532

* Department of Physical Medicine and Rehabilitation, Uludag University School of Medicine, Bursa, Turkey.

Background: The purpose of this study was to investigate the relationship between anthropometric hand/wrist measurements and outcomes following static wrist splintage in patients with mild-to-moderate carpal tunnel syndrome (CTS).

Methods: Thirty nine patients with mild-to-moderate CTS were enrolled in this study. Anthropometric measurements of hand and wrist including wrist width, wrist depth, palm length, hand length, wrist ratio (wrist depth/wrist width) and wrist/palm ratio (wrist depth/palm length) were recorded as well as body mass index and ultrasonographic cross sectional area of median nerve. Read More

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http://dx.doi.org/10.1142/S2424835518500534DOI Listing
December 2018
11 Reads

Persisting Complaints after Carpal Tunnel Release: Nerve Compression by the Palmaris Profundus Muscle.

J Hand Surg Asian Pac Vol 2018 Dec;23(4):593-595

† OLV van Lourdes Hospital, Waregem, Belgium.

We present the case of a 66-year-old man who had persisting complaints after initial classical open carpal tunnel release. During revision a reversed palmaris profundus muscle was identified as being the cause of residual compression of the median nerve. Neurolysis with release of the palmaris profundus muscle was performed without resection of this anatomical variant and resulted in full resolution of the complaints. Read More

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http://dx.doi.org/10.1142/S2424835518720372DOI Listing
December 2018
5 Reads

Mononeuritis multiplex: an uncommon neurological manifestation of cytomegalovirus reactivation in an HIV-infected patient.

BMC Infect Dis 2018 Nov 12;18(1):554. Epub 2018 Nov 12.

Infectious Diseases Department, Centro Hospitalar de São João, Alameda Professor Hernâni Monteiro, 4200-319, Porto, Portugal.

Background: Cytomegalovirus (CMV) reactivation with neurological involvement in patients with acquired immunodeficiency syndrome (AIDS) is increasingly rare since the introduction of antiretroviral therapy (ART). Manifestations include encephalitis, myelitis, polyradiculopathy and, less commonly, mononeuritis multiplex (MNM). We report a case of disseminated CMV disease with gastrointestinal and peripheral and central nervous system involvement in a patient with AIDS, manifesting primarily as MNM. Read More

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https://bmcinfectdis.biomedcentral.com/articles/10.1186/s128
Publisher Site
http://dx.doi.org/10.1186/s12879-018-3501-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233374PMC
November 2018
21 Reads

Report of an Isolated L5 Radiculopathy Caused by an L2-3 Disc Herniation and Review of the Literature.

Cureus 2018 Apr 30;10(4):e2552. Epub 2018 Apr 30.

Neurological Surgery, UC Health, Cincinatti, USA.

Intervertebral disc herniation is a common cause of radiculopathy. Disc herniations occurring in the lumbar spine typically affect the nerve root exiting under the pedicle of the vertebral body, one level caudal. However, in rare cases, a disc herniation can cause remote isolated radicular symptoms. Read More

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https://www.cureus.com/articles/12201-report-of-an-isolated-
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http://dx.doi.org/10.7759/cureus.2552DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218189PMC
April 2018
21 Reads

The diagnostic value of clinical examinations when diagnosing carpal tunnel syndrome assisted by nerve conduction studies.

J Clin Neurosci 2019 Mar 3;61:136-141. Epub 2018 Nov 3.

Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey.

Background: Our study aims to evaluate the reliability of clinical findings in diagnosing carpal tunnel syndrome (CTS), with the help of nerve conduction studies (NCSs) and the detection of comorbidities likely to be risk factors.

Methods: 512 patients were included in the study who described pain or paresthesia in the median nerve sensory distribution. Sensory and motor NCSs were performed on the median and ulnar nerves of all patients. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09675868183114
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http://dx.doi.org/10.1016/j.jocn.2018.10.106DOI Listing
March 2019
9 Reads
1.320 Impact Factor