38 results match your criteria Neoplastic Brachial Plexopathy

  • Page 1 of 1

Horner's Syndrome as Initial Manifestation of Possible Brachial Plexopathy Neurolymphomatosis.

Front Neurol 2019 22;10. Epub 2019 Jan 22.

Department of Neurology, Ohio State University Wexner Medical Center, Columbus, OH, United States.

Horner's syndrome is an established clinical finding unique to neoplastic brachial plexopathy. We present the case of a patient who developed Horner's syndrome as the first manifestation of neurolymphomatosis (NL) of the brachial plexus that did not have the usually associated bulky adenopathy/Pancoast syndrome phenotype. We discuss the clinical utility of Horner's syndrome with regards to brachial plexopathy of indeterminate etiology, as well as the utility of other diagnostic modalities in NL. Read More

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http://dx.doi.org/10.3389/fneur.2019.00004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350275PMC
January 2019
1 Read

Current status of magnetic resonance neurography in evaluating patients with brachial plexopathy.

Neurol India 2019 Jan-Feb;67(Supplement):S118-S124

Department of Plastic Surgery, King George Medical University, Lucknow, Uttar Pradesh, India.

Magnetic resonance neurography (MRN) is recognized as the imaging modality of choice in the evaluation of patients with brachial plexopathy. It adds vital information to the results of the clinical evaluation and electrodiagnostic tests and facilitates patient management. Its indications include both trauma and non-traumatic forms of plexopathy such as inflammatory, neoplastic and compressive. Read More

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http://dx.doi.org/10.4103/0028-3886.250730DOI Listing
January 2019
4 Reads

Plexus and peripheral nerve metastasis.

Authors:
Kelly G Gwathmey

Handb Clin Neurol 2018 ;149:257-279

Department of Neurology, University of Virginia, Charlottesville, VA, United States. Electronic address:

Cancer in the form of solid tumors, leukemia, and lymphoma can infiltrate and metastasize to the peripheral nervous system, including the cranial nerves, nerve roots, cervical, brachial and lumbosacral plexuses, and, rarely, the peripheral nerves. This review discusses the presentation, diagnostic evaluation, and treatment options for metastatic lesions to these components of the peripheral nervous system and is organized based on the anatomic distribution. As skull base metastases (also discussed in Chapter 14) result in cranial neuropathies, these will be covered in detail, as well as cancers that directly infiltrate the cranial nerves. Read More

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https://linkinghub.elsevier.com/retrieve/pii/B97801281116110
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http://dx.doi.org/10.1016/B978-0-12-811161-1.00017-7DOI Listing
July 2018
15 Reads

Neurolymphomatosis of the Brachial Plexus and its Branches: Case Series and Literature Review.

Can J Neurol Sci 2018 03 8;45(2):137-143. Epub 2018 Jan 8.

2Ottawa Hospital Research Institute,Ottawa,Ontario,Canada.

Background: Neurolymphomatosis is a process of neoplastic endoneurial invasion, most strongly associated with non-Hodgkin's lymphoma. It must be distinguished from paraneoplastic, metabolic, nutritional and treatment-related causes of neuropathy that are common in this patient population.

Methods: This brief case series illustrates the protean manifestations of neurolymphomatosis of the brachial plexus, ranging from focal distal mononeuropathy to multifocal brachial plexopathy, either as the index manifestation of lymphoma or as a complication of relapsing disease. Read More

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https://www.cambridge.org/core/product/identifier/S031716711
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http://dx.doi.org/10.1017/cjn.2017.282DOI Listing
March 2018
15 Reads

Idiopathic Brachial Neuritis in a Patient with Multiple Myeloma.

J Clin Diagn Res 2017 Jun 1;11(6):OD11-OD12. Epub 2017 Jun 1.

Department of Neurology, Sisli Hamidiye Etfal Education and Research Hospital, Istanbul, Turkey.

Idiopathic Brachial Neuritis (IBN), is a rare brachial plexopathy with an unknown aetiology. Multiple myeloma is a neoplastic plasma cell disease characterised by bone lesions. In this article, we present the case of a 59-year-old male patient with IBN associated with multiple myeloma, who was admitted to our clinic with right shoulder pain and right arm weakness. Read More

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http://dx.doi.org/10.7860/JCDR/2017/22426.10082DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5535420PMC
June 2017
19 Reads

Clinical impact of magnetic resonance neurography in patients with brachial plexus neuropathies.

Br J Radiol 2016 Nov 19;89(1067):20160503. Epub 2016 Sep 19.

1 Musculoskeletal Imaging Division, Department of Radiology, UT Southwestern Medical Center, Dallas, TX, USA.

Objective: To study the impact of brachial plexus MR neurography (MRN) in the diagnostic thinking and therapeutic management of patients with suspected plexopathy.

Methods: MRN examinations of adult brachial plexuses over a period of 18 months were reviewed. Relevant data collection included-patient demographics, clinical history, pre-imaging diagnostic impression, pre-imaging treatment plan, post-imaging diagnosis, post-imaging treatment plan, surgical notes and electrodiagnostic (ED) results. Read More

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http://dx.doi.org/10.1259/bjr.20160503DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5124848PMC
November 2016
4 Reads

Pediatric Nerve Biopsy Diagnostic and Treatment Utility in Tertiary Care Referral.

Pediatr Neurol 2016 05 5;58:3-11. Epub 2016 Feb 5.

Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota; Department of Neurology, Mayo Clinic, Rochester, Minnesota; Department of Medical Genetics, Mayo Clinic, Rochester, Minnesota. Electronic address:

Background: Pediatric neuropathies are both unique and similar to their adult counterparts, with genetic varieties thought to be more common. The objective of this work was to assess the utility of nerve biopsy in children at a tertiary referral center in light of availability of current genetic testing.

Methods: We retrospectively reviewed the clinical, nerve biopsy, and genetic testing findings of 316 pediatric (age ≤18 years) patients. Read More

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http://dx.doi.org/10.1016/j.pediatrneurol.2016.01.021DOI Listing
May 2016
16 Reads

Clinical Utility of (18)F-FDG PET/CT in brachial plexopathy secondary to metastatic breast cancer.

Indian J Nucl Med 2016 Apr-Jun;31(2):123-7

Department of Nuclear Medicine and Molecular Imaging, Tata Memorial Hospital, Parel, Mumbai, Maharashtra, India.

Role of fluorodeoxyglucose positron emission tomography/computed tomography (PET/CT) in breast cancer is rapidly evolving. Brachial plexopathy is a rare clinical entity in follow-up of operated breast cancer patients, who presents with disease recurrence in the axilla. Conventionally, magnetic resonance imaging is the imaging modality of choice for diagnostic evaluation in these cases and only few case reports/short studies have explored the utility of PET/CT in this clinical indication. Read More

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http://dx.doi.org/10.4103/0972-3919.178263DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4815384PMC
April 2016
8 Reads

Brachial Plexus Block for Cancer-Related Pain: A Case Series.

Pain Physician 2015 Sep-Oct;18(5):E917-24

Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA.

Neoplastic brachial plexopathy (NBP) is caused by a cancerous infiltration into the brachial plexus, presenting often as severe pain in the affected upper extremity. Such pain can be resistant to medical treatment. Invasive interventions such as brachial plexus neurolysis with phenol or cordotomy may result in severe complications including permanent neurological damage and death. Read More

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June 2016
7 Reads

[Brachial plexopathy after breast cancer].

Ugeskr Laeger 2014 Dec;176(25A)

Neurologisk Afdeling F, Aarhus Universitetshospital, Nørrebrogade 44, 8000 Aarhus C.

Neoplastic plexopathy is an unusual, but known cause of neuropathy. This is a case report of a patient, who developed brachial plexopathy years after completing treatment for breast cancer. The patient presented with pain in one arm and, subsequently, developed sensory deficits and muscle atrophy, resulting in severely impaired hand function. Read More

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December 2014
8 Reads

Brachial plexus compression: a rare sequelae of malignant papillary thyroid carcinoma.

Int J Clin Exp Med 2013 1;6(7):606-8. Epub 2013 Aug 1.

Department of Otolaryngology, Head and Neck Surgery, Tulane University School of Medicine New Orleans, LA, USA.

Invasive papillary thyroid carcinoma (PTC) can rarely invade adjacent vital structures. There has been one report on secondary brachial plexopathy associated with locally invasive PTC. Here we report a patient with a large locally invasive PTC associated with secondary neoplastic brachial plexopathy. Read More

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http://www.ijcem.com/files/ijcem1305010.pdf
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3731196PMC
August 2013
10 Reads

Pulsed radiofrequency treatment within brachial plexus for the management of intractable neoplastic plexopathic pain.

J Anesth 2013 Apr 16;27(2):298-301. Epub 2012 Oct 16.

Multidisciplinary Pain Center, School of Medicine, Aichi Medical University, 21 Karimata, Nagakutecho, Aichigun, Aichi 480-1195, Japan.

We report on the use of pulsed radiofrequency (RF) within the plexus for the management of intractable pain in three patients with metastatic or invasive plexopathy. The patients were a 38-year-old woman with a history of breast cancer 6 years earlier whose computed tomography (CT) scans revealed a mass lesion at the infraclavicular part of the right brachial plexus, a 68-year-old man diagnosed with advanced lung cancer whose CT scans revealed a bone metastasis in the right humerus invading the axillary region of the right brachial plexus, and a 67-year-old woman diagnosed with advanced lung cancer whose CT scans revealed a bone metastasis in the left humerus invading the axillary region of the left brachial plexus. Ultrasound-guided pulsed RF was performed within the interscalene brachial plexus. Read More

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http://link.springer.com/content/pdf/10.1007/s00540-012-1501
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http://link.springer.com/10.1007/s00540-012-1501-8
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http://dx.doi.org/10.1007/s00540-012-1501-8DOI Listing
April 2013
5 Reads

Clinical, Electrophysiological Findings in Adult Patients with Non-traumatic Plexopathies.

Ann Rehabil Med 2011 Dec 30;35(6):807-15. Epub 2011 Dec 30.

Department of Physical Medicine and Rehabilitation, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 135-710, Korea.

Objective: To ascertain the etiology of non-traumatic plexopathy and clarify the clinical, electrophysiological characteristics according to its etiology.

Method: We performed a retrospective analysis of 63 non-traumatic plexopathy patients that had been diagnosed by nerve conduction studies (NCS) and needle electromyography (EMG). Clinical, electrophysiological, imaging findings were obtained from medical records. Read More

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http://dx.doi.org/10.5535/arm.2011.35.6.807DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3309383PMC
December 2011
14 Reads

Electrodiagnostic findings heralding neoplastic brachial plexopathy.

PM R 2012 Mar;4(3):238-40

Division of Neuromuscular Disorders, Department of Neurology, The Ohio State University, 395 W 12th Ave, Columbus, OH 43210, USA.

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http://dx.doi.org/10.1016/j.pmrj.2011.12.002DOI Listing
March 2012
3 Reads

Neoplastic brachial plexopathy detected by ultrasonography in a patient with chronic cervicobrachialgia.

J Rehabil Med 2012 Feb;44(2):181-3

Department of Physical Medicine and Rehabilitation, Turkish Armed Forces Rehabilitation Center, Gülhane Military Medical Academy, Ankara, Turkey.

Objective: We report here a case of neoplastic brachial plexopathy detected by musculoskeletal ultrasonography in a patient with chronic cervicobrachialgia.

Methods/results: A 71-year-old man presented at Gülhane Military Medical Academy, Turkish Armed Forces Rehabilitation Center, Ankara, Turkey with a one-year history of cervicobrachial pain radiating to the left arm and numbness in the medial aspect of the left arm and hand. He could not tolerate magnetic resonance imaging because his pain was exacerbated by cervical extension. Read More

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http://dx.doi.org/10.2340/16501977-0914DOI Listing
February 2012
27 Reads

Neuromuscular complications.

Handb Clin Neurol 2012 ;105:781-803

Kaiser Franz Josef Hospital, Vienna, Austria.

Although direct neoplastic involvement of muscle tis-sue is surprisingly rare, considering the large amount of body mass that is represented by muscle tissue, the most important and unresolved muscle effect is muscle cachexia.Other associations, such as inflammatory, paraneo-plastic, toxic, and several extremely rare associations,have been described. Drug-induced toxicity and radiation recall syndrome need to be taken into consideration when muscle symptoms appear in patients with cancer. Read More

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http://dx.doi.org/10.1016/B978-0-444-53502-3.00024-0DOI Listing
April 2012
5 Reads

Frequency and outcome of neoplastic brachial plexopathy: single institution experience.

Ir Med J 2011 Mar;104(3):76-8

Department of Medical Oncology, Mater Misericordiae University Hospital, Eccles St, Dublin 7.

Symptomatic neoplastic brachial plexopathy (NBP) is estimated to occur in about 0.4% of all patients with cancer. The aim of this review was to determine the incidence of NBP occurring in patients referred for magnetic resonance imaging (MRI). Read More

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March 2011
4 Reads

Brachial plexus and nerves about the shoulder.

Semin Musculoskelet Radiol 2010 Nov 11;14(5):523-46. Epub 2010 Nov 11.

Cattedra di Radiologia-DISC, Università di Genova, Largo Rosanna Benzi 8, Genoa, Italy.

Ultrasound (US) and MR imaging have been shown able to detect in-depth features of brachial plexus anatomy and to localize pathological lesions in disorders where electrophysiology and physical findings are nonspecific or nonlocalizing. High-end gradient technology, phased array coils, and selection of an appropriate protocol of pulse sequences are the main requirements to evaluate the brachial plexus nerves with MR imaging and to distinguish between intrinsic and extrinsic pathological changes. A careful scanning technique based on anatomical landmarks is required to image the brachial plexus nerves with US. Read More

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http://dx.doi.org/10.1055/s-0030-1268072DOI Listing
November 2010
6 Reads

Neurologic manifestations of neoplastic and radiation-induced plexopathies.

Authors:
Kurt A Jaeckle

Semin Neurol 2010 Jul 24;30(3):254-62. Epub 2010 Jun 24.

Department of Neurology and Oncology, Mayo Clinic Florida, Jacksonville, Florida 32224, USA.

Metastatic plexopathy is often a disabling accompaniment of advanced systemic cancer, and may involve any of the peripheral nerve plexuses. Brachial plexopathy most commonly occurs in carcinoma of the breast and lung; lumbosacral plexopathy is most common with colorectal and gynecologic tumors, sarcomas, and lymphomas. Neoplastic plexopathy is often characterized initially by severe, unrelenting pain followed by development of weakness and focal sensory disturbances. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0030-1255219
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http://dx.doi.org/10.1055/s-0030-1255219DOI Listing
July 2010
17 Reads

Diagnostic value and surgical implications of the magnetic resonance imaging in the management of adult patients with brachial plexus pathologies.

Surg Radiol Anat 2008 Mar 20;30(2):91-101. Epub 2007 Dec 20.

Department of Neuroradiology, IRCCS San Raffaele, Università Vita e Salute, Via Olgettina 60, 20132, Milan, Italy.

The imaging of the brachial plexus (BP) cannot easily be achieved because of the extension of the region to be studied, the different tissue compositions of the adjacent anatomic structures and the necessity to work with thin tissue slices. Here is a description of the brachial plexus MRI (bpMRI) protocol that we use for the pre-operative evaluation of patients affected by the following brachial plexus (BP) pathologies: neoplastic, post-traumatic, inflammatory. The surgical implications are discussed. Read More

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http://dx.doi.org/10.1007/s00276-007-0292-3DOI Listing
March 2008
7 Reads

Trastuzumab use for metastatic breast cancer in pregnancy.

Obstet Gynecol 2007 Aug;110(2 Pt 2):507-10

Department of Obstetrics and Gynecology, Faculty of Medical and Health Science, University of Auckland, Auckland, New Zealand.

Background: Trastuzumab is approved for first-line treatment for breast cancer in combination with docetaxel for stage 2 tumors positive for human epidermal growth factor receptor 2. The effects of trastuzumab on the fetus are mostly unknown.

Case: Our case report focuses on a woman who was treated for invasive ductal carcinoma 1 year before pregnancy. Read More

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http://dx.doi.org/10.1097/01.AOG.0000267133.65430.44DOI Listing
August 2007
4 Reads

Non-traumatic brachial plexopathies, clinical, radiological and neurophysiological findings from a tertiary centre.

Clin Neurol Neurosurg 2007 Oct 10;109(8):661-6. Epub 2007 Jul 10.

Department of Neurology Cork University Hospital, Ireland.

Objective: To establish the clinical characteristics, aetiology, neuro-physiological characteristics, imaging findings and other investigations in a cohort of patients with non-traumatic brachial plexopathy (BP).

Methods: A 3-year retrospective study of patients with non-traumatic BP identified by electromyography (EMG) and nerve conduction studies (NCS). Clinical information was retrieved from patients' medical charts. Read More

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http://dx.doi.org/10.1016/j.clineuro.2007.05.010DOI Listing
October 2007
5 Reads

[A case of bilateral diaphragmatic paralysis clinically suggestive of brachial neuritis].

Nihon Kokyuki Gakkai Zasshi 2005 Sep;43(9):513-7

Third Department of Internal Medicine, University of Fukui.

A 55-year-old man complained of acute onset of shoulder pain and dyspnea in the supine position. A diagnosis of bilateral diaphragmatic paralysis was made based on clinical inspection of his breathing pattern, radiographic appearance, and pulmonary function tests. He had had no traumatic or thoracic surgery or inflammatory episode. Read More

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September 2005
7 Reads

Levetiracetam as an adjunctive analgesic in neoplastic plexopathies: case series and commentary.

Authors:
Edwin D Dunteman

J Pain Palliat Care Pharmacother 2005 ;19(1):35-43

A & A Pain Institute, 456 North New Ballas, Suite 154, St. Louis, MO 63141, USA.

Certain types of pain associated with cancer may be difficult to treat with standard therapies, often resulting in intractable pain and suffering for the patient. The use of an opioid as analgesic monotherapy can lead to poorly controlled pain as well as multiple side effects. Non-opioid adjunctive analgesics, such as antidepressants and antiepileptic drugs (AEDs) often improve both pain control, and side effect prevalence. Read More

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September 2005
3 Reads

Neurological manifestations of neoplastic and radiation-induced plexopathies.

Authors:
Kurt A Jaeckle

Semin Neurol 2004 Dec;24(4):385-93

Department of Neurology and Oncology, Mayo Clinic Jacksonville, 4500 San Pablo Road, Jacksonville, FL 32224, USA.

Metastatic plexopathy is often a disabling accompaniment of advanced systemic cancer and may involve any of the peripheral nerve plexuses. Brachial plexopathy most commonly occurs in carcinoma of the breast and lung; lumbosacral plexopathy is most common with colorectal and gynecologic tumors, sarcomas, and lymphomas. Regardless of the location, neoplastic plexopathy is often characterized by severe, unrelenting pain. Read More

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http://dx.doi.org/10.1055/s-2004-861533DOI Listing
December 2004
10 Reads

MR imaging of brachial plexus.

Top Magn Reson Imaging 2004 Apr;15(2):113-25

Department of Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.

The brachial plexus is a complex anatomic component originating from ventral rami of the lower cervical nerve roots from C5 to C8 and upper thoracic spinal nerve roots from T1, providing sensory and motor innervation to the upper extremities. As it is inaccessible to palpation, clinical evaluation of the brachial plexus is very challenging and localizing lesions along its course is very difficult. The gamut of pathologic conditions involving the brachial plexus includes primary tumor, direct extension of adjacent tumor, metastasis, trauma, or an inflammatory condition. Read More

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April 2004
8 Reads

Sonographic evaluation of brachial plexus pathology.

Eur Radiol 2004 Feb 5;14(2):193-200. Epub 2003 Jul 5.

Department of Radiology, Tel Aviv Sourasky Medical Center and the Sackler Faculty of Medicine, Tel Aviv University, 6 Weizmann Street, 64239 Tel Aviv, Israel.

Pre-operative US examinations of the brachial plexus were performed with the purpose of exploring the potential of this technique in recognizing lesions in the region and defining their sonographic morphology, site, extent, and relations to adjacent anatomic structures, and comparing them to the surgical findings to obtain maximal confirmation. Twenty-eight patients with clinical, electro-conductive, and imaging findings suggestive of brachial plexus pathology were included in this study. There were four main etiology groups: post-traumatic brachial plexopathies; primary tumors (benign and malignant); secondary tumors; and post irradiation injuries. Read More

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http://library.tasmc.org.il/Staff_Publications/publications%
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http://link.springer.com/content/pdf/10.1007/s00330-003-1997
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http://link.springer.com/10.1007/s00330-003-1997-2
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http://dx.doi.org/10.1007/s00330-003-1997-2DOI Listing
February 2004
10 Reads

Electrodiagnostic approach to the patient with suspected brachial plexopathy.

Neurol Clin 2002 May;20(2):423-50

EMG Laboratories, NeuroDiagnostics, Inc., 240 Eisenhower Drive, Suite C-5, Biloxi, MS 39531, USA.

Of the four major PNS plexuses, disorders of the brachial plexus are encountered far more frequently than those of the others. The EDX examination is probably the best procedure available by which to evaluate brachial plexus lesions. It provides localizing, pathologic, pathophysiologic, severity, and prognostic information. Read More

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May 2002
9 Reads

A rare association between malignant mediastinal seminoma and other malignant neoplasms.

J Endocrinol Invest 2002 Apr;25(4):373-6

Service of Endocrinology, Regina Elena Cancer Institute-IFO, Rome, Italy.

Primary malignant mediastinal seminomas (PMMS) are rare tumors accounting for 1-6% of all mediastinal tumors. PMMS mostly affect young men, arising from primordial germ cells that abnormally migrate from the ectoderm of the yolk sac to the gonadal region. They are clinically and biologically distinct from primary testicular tumors and seem to have a worse prognosis. Read More

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http://dx.doi.org/10.1007/BF03344021DOI Listing
April 2002
1 Read

Intraneural nerve metastasis with multiple mononeuropathies.

J Peripher Nerv Syst 2000 Sep;5(3):163-7

LBI for NeuroOncology, KFJ Hospital, Vienna, Austria.

Although cancer is a frequent condition, neoplastic involvement of the peripheral nervous system is rare. The mechanisms are heterogeneous and include lesions within the cerebrospinal fluid (CSF) space, local invasion (e.g. Read More

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September 2000
11 Reads

Brachial plexus neoplastic lesions assessed by conduction study of medial antebrachial cutaneous nerve.

Authors:
P Seror

Muscle Nerve 2001 Aug;24(8):1068-70

Laboratoire d'Electromyographie, 146 avenue Ledru-Rollin, 75011 Paris, France.

Two cases of neoplastic involvement of the lower brachial plexus are reported. This condition was due to recurrence of lymphoma in one case and to axillary node spread of breast cancer in the other. The neuropathic origin and the location of the lesion in the lower brachial plexus between the T-1 root and the axilla was demonstrated by the presence of abnormalities on testing of the medial antebrachial cutaneous nerve in the symptomatic upper limb and comparing it to the healthy one. Read More

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August 2001
3 Reads

Neoplasm as a cause of brachial plexus palsy in neonates.

Pediatr Neurol 2000 Apr;22(4):309-11

Division of Neonatal Neurology, Department of Neurology, Miami Children's Hospital, FL 33155-3009, USA.

Two patients with neonatal onset of arm weakness resulting from neoplastic involvement of the brachial plexus who were initially considered to have obstetric brachial plexus palsies are reported. The first patient was a 7-day-old female who presented with a left supraclavicular mass that was first detected at 2 days of age and left proximal arm weakness. The weakness involved the whole arm within 3 days. Read More

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April 2000
6 Reads

Neuromuscular disorders in systemic malignancy.

Authors:
J P Stübgen

Curr Opin Neurol 1997 Oct;10(5):371-5

Department of Neurology (A-569), Cornell University Medical College, New York, NY 10021, USA.

Paraneoplastic neuronopathies are presumed to be the result of an autoimmune attack directed at neuronal proteins, and both humoral and cell-mediated mechanisms have been postulated. The lower motor neuron syndrome after irradiation to the spinal column is caused by a proximal motor polyradiculopathy. Prevention of brachial plexopathy after radiotherapy for breast cancer may be accomplished by lower doses and surgical management of the axilla. Read More

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October 1997
3 Reads

Electrophysiological findings in patients who received radiation therapy over the brachial plexus: a magnetic stimulation study.

Electroencephalogr Clin Neurophysiol 1996 Dec;101(6):483-90

Department of Neurology, Istanbul University, Istanbul Faculty of Medicine, Turkey.

Clinical and electrophysiological findings of 47 asymptomatic females who received radiation therapy (RT) over their brachial plexus region are presented and compared with 8 radiation-induced brachial plexopathy (RBP) and 4 neoplastic brachial plexopathy (NBP) patients. In the asymptomatic group, abnormal findings were more frequent in patients whose post-RT period was longer than 1 year. Flexor carpi radialis H reflex was delayed or absent in 19 patients (52%) in this subgroup of asymptomatic cases, as compared to only 2 (18%) of the patients with post-RT periods of less than 1 year. Read More

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December 1996
11 Reads

Evaluation of Neoplastic Involvement of Brachial and Lumbosacral PlexusImaging Aspects.

Authors:
G Krol

J Back Musculoskelet Rehabil 1993 Jan;3(2):35-43

Memorial Sloan-Kettering Cancer Center, New York, NY.

Traditionally, the regions of brachial and lumbosacral plexi have been difficult to evaluate, both by physical examination and conventional radiography. Presenting symptoms of plexus involvement may include pain, paresthesia, focal weakness, sensory deficits, and muscle atrophy. The symptomatology as well as electrodiagnostic studies are nonspecific and many conditions, such as mechanical compromise of the pathway by a benign process, inflammation, and infiltration by a neoplasm originating or metastatic to the region of plexi share similar features and cannot be differentiated. Read More

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http://dx.doi.org/10.3233/BMR-1993-3207DOI Listing
January 1993
5 Reads

Distinction between neoplastic and radiation-induced brachial plexopathy, with emphasis on the role of EMG.

Neurology 1989 Apr;39(4):502-6

Department of Neurology, Mayo Clinic Foundation, Rochester, MN 55905.

The results of clinical, radiologic, and electrophysiologic studies are retrospectively reviewed for 55 patients with neoplastic and 35 patients with radiation-induced brachial plexopathy. The presence or absence of pain as the presenting symptom, temporal profile of the illness, presence of a discrete mass on CT of the plexus, and presence of myokymic discharges on EMG contributed significantly to the prediction of the underlying cause of the brachial plexopathy. The distribution of weakness and the results of nerve conduction studies were of no help in distinguishing neoplastic from radiation-induced brachial plexopathy. Read More

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April 1989
8 Reads

Brachial plexopathy: recurrent cancer or radiation?

Neurology 1984 Oct;34(10):1331-5

We reviewed clinical and electrodiagnostic features of 16 patients with neoplastic brachial plexopathy (NBP) and 17 patients with radiation-induced plexopathy (RBP). The groups were similar in symptom-free interval after cancer diagnosis and location of the plexus lesions. NBP patients had pain and Horner's syndrome; RBP patients had paresthesias, but rarely Horner's. Read More

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October 1984
3 Reads

[Surgical treatment of cranio-facial and cervical neoplastic pain].

Authors:
I Papo

Riv Otoneurooftalmol 1966 Sep-Oct;41(5):401-4

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January 1968
4 Reads
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