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FP Essent 2019 Feb;477:11-15

University of South Alabama College of Medicine Department of Family Medicine, 1601 Center Street, 2N Mobile, AL 36604.

Peripheral neuropathies (PNs) are a group of conditions caused by damage to the peripheral nervous system. PN is a condition commonly seen in the family medicine setting and can lead to reduced quality of life due to pain, ulceration, and falls. More than 100 etiologies of PN have been identified; the most common are metabolic, drug-related, and systemic etiologies. Read More

Am J Phys Med Rehabil 2018 Dec 4. Epub 2018 Dec 4.

Neuromusculoskeletal Research Center, Department of Physical Medicine and Rehabilitation, Iran University of Medical Sciences, Tehran, Iran__.

Objective: To investigate the overall estimates of cross-sectional areas (CSA) of the median nerve measured by ultrasonography in accordance with the electrodiagnostic classification of carpal tunnel syndrome (CTS) severity.

Design: MEDLINE (PubMed), EMBASE (Ovid), and Web of Science were searched for studies reporting the median nerve CSA measured by ultrasonography for mild, moderate and severe CTS based on electrodiagnostic study. CSA values measured at the carpal tunnel inlet were included in the analyses. Read More

Medicine (Baltimore) 2019 Jan;98(3):e14183

Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Hand injuries are common and have a significant impact on daily life. However, the factors associated with functional outcome after hand injuries are not well established. The purpose of this study was to identify factors that are independently associated with hand total active motion (TAM). Read More

Curr Health Sci J 2018 Jan-Mar;44(1):92-96. Epub 2018 Mar 22.

University of Medicine and Pharmacy of Craiova, Department of Physical Medicine and Rehabilitation.

Amyotrophic lateral sclerosis (ALS) is a degenerative motor neuron disease (MND) which prognosis is poor. Early diagnosis permits to set up immediately adapted treatment. Available diagnostic criteria are based on the detection of both central and peripheral motor neuron injury in bulbar, cervical, thoracic and lumbar regions. Read More

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

Reumatologia 2018 31;56(5):294-300. Epub 2018 Oct 31.

Department of Rehabilitation Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

Objectives: To determine the incidence and factors associated with median neuropathy at the wrist (MNW) in systemic sclerosis (SSc) patients using an electrodiagnostic (EDX) study.

Material And Methods: SSc patients who attended the scleroderma clinic, Srinagarind Hospital, were prospectively evaluated by questionnaire, physical examination, and EDX study. The questionnaire consisted of the baseline characteristics, type of scleroderma, clinical signs and symptoms associated with scleroderma, and the Boston questionnaire. Read More

Clin Interv Aging 2018 11;13:1953-1962. Epub 2018 Oct 11.

Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden,

Background: Accurate diagnosis of carpal tunnel syndrome (CTS), the most common entrapment neuropathy, and its differentiation from other diseases are essential, especially in older individuals with advanced symptoms and modified electrophysiological abnormalities. The current study was conducted to evaluate the diagnostic accuracy of ultrasonography (US), regarding sensitivity and specificity in the diagnosis of CTS in elderly patients.

Methods: Individuals with upper limb complaints and reference subjects were recruited from the Rofaydeh Hospital, Tehran, Iran, from June 2013 to October 2014 - (15 months). Read More

Clin J Sport Med 2018 Oct 8. Epub 2018 Oct 8.

Department of Physical Medicine and Rehabilitation, Mayo Clinic College of Medicine and Science, Rochester, Minnesota.

A 19-year-old female collegiate swimmer presented to our sports medicine clinic with a history and physical examination consistent with right ulnar neuropathy at the cubital tunnel. Diagnostic ultrasound (US) revealed compression of the ulnar nerve under the cubital tunnel retinaculum (CTR) with nerve swelling proximal to the site of compression. Electrodiagnostic studies confirmed the diagnosis of a moderate to severe ulnar neuropathy at the elbow. Read More

Phys Med Rehabil Clin N Am 2018 11 14;29(4):783-792. Epub 2018 Sep 14.

Department of Physical Medicine and Rehabilitation, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226, USA.

In the electrodiagnostic (EDX) approach of the patient who presents with foot pain, numbness, and/or tingling, it is important to consider a broad differential diagnosis of both neuropathic and nonneuropathic conditions, including focal and systemic causes. This article assists the electromyographer in the selection and utilization of the most appropriate EDX studies for evaluation. The EDX findings and impression can then help guide potential treatment options for the patient with foot pain and other symptoms. Read More

Medicine (Baltimore) 2018 Oct;97(40):e12515

Department of Rehabilitation Medicine, Hanyang University College of Medicine, Seoul, Republic of Korea.

Rationale: Scapular winging is caused by neuromuscular dysfunction of shoulder stabilizer muscles. Clinically, a winged scapula can be easily diagnosed by typical physical findings. We report a case of atypical winged scapula caused by dorsal scapular neuropathy combined with suprascapular neuropathy, which has rarely been reported. Read More

AJNR Am J Neuroradiol 2018 Nov 27;39(11):2154-2160. Epub 2018 Sep 27.

Neurology (N.F.), Center for Comprehensive Spine Care, Weill Cornell Medicine, NewYork-Presbyterian Hospital, New York, New York.

Background And Purpose: MR neurography enables high resolution imaging of peripheral nerves. Our aim was to evaluate the utility of MR neurography in lumbosacral radiculopathy and correlate abnormal intraneural signal with history, physical examination, and abnormal electrodiagnostic study findings.

Materials And Methods: Retrospective review of lumbosacral MR neurography examinations performed from December 2014 through January 2017 on a 3T scanner was undertaken. Read More

Medicine (Baltimore) 2018 Aug;97(31):e11403

Introduction: Congenital asymmetric crying facies (ACF) in newborns is a rare condition usually caused by unilateral agenesis or hypoplasia of the depressor anguli oris muscle on one side of the mouth (symmetric face at rest and asymmetric face while crying), which is often accompanied with other malformations.

Case Report: We present a case of a female newborn with nonconsanguineous ethnic Han Chinese parents who presented with 37 minutes of breathlessness and asymmetrical face when crying. A thorough physical examination had been conducted. Read More

Muscle Nerve 2019 Jan 13;59(1):60-63. Epub 2018 Nov 13.

Department of Orthopedic Surgery, Washington University School of Medicine, Campus Box 8233, 425 South Euclid Avenue, St. Louis, Missouri, USA.

Introduction: Patients presenting with symptoms of pain/paresthesias primarily in an ulnar nerve distribution may be noted to have exclusive median mononeuropathy at the wrist on subsequent electrodiagnostic testing. There has been limited research looking at the prevalence of this clinical presentation.

Methods: A cohort of adults were surveyed to assess for severity and localization of hand symptoms using the Katz hand diagram and Boston Carpal Tunnel Questionnaire Symptoms Severity Scale. Read More

Medicine (Baltimore) 2018 Jul;97(30):e11699

Department of Rehabilitation Medicine, Catholic University of Daegu School of Medicine, Daegu, Republic of Korea.

Rationale: We report a 45-year-old male patient with unilateral brachial plexopathy following acute carbon monoxide (CO) intoxication.

Patient Concerns: The patient suddenly developed severe left upper extremity weakness and cognitive impairment after CO intoxication.

Diagnoses: He showed severe weakness in the left upper extremity and decreased cognitive function during physical examination. Read More

J Am Acad Orthop Surg 2018 Aug;26(16):576-584

From the Rocky Mountain Center for Occupational and Environmental Health (Dr. Hegmann, Dr. Thiese, and Dr. Wood), the Department of Mechanical Engineering (Dr. Merryweather), and the Division of Physical Medicine and Rehabilitation (Dr. Kendall), the University of Utah, Salt Lake City, UT; the Center for Ergonomics, College of Health Sciences (Dr. Garg) and the Department of Occupational Science and Technology (Dr. Kapellusch), the University of Wisconsin-Milwaukee, Milwaukee, WI; Infinity Healthcare, Kenosha, WI (Dr. Foster); the Wood VA Medical Center, Milwaukee, WI (Dr. Drury); and the Hand Center, Wichita, KS (Dr. Melhorn).

Introduction: Diagnostic screening tests for carpal tunnel syndrome (CTS) have not been rigorously assessed in large populations.

Methods: This study is a cross-sectional analysis from a prospective cohort study. Participants' (n = 1,194) symptoms and disease prevalence were measured. Read More

J Pain Res 2018 10;11:1319-1325. Epub 2018 Jul 10.

Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA,

Background: Suspecting carpal tunnel syndrome (CTS) in patients with hand pain is usual. Considering the variable rate of false-negative results in nerve conduction study (NCS), as a frequent reference confirmatory standard test, we aimed to evaluate the diagnostic accuracy of neuromuscular ultrasound in patients with clinical evidence of CTS and normal NCS.

Methods: It was a diagnostic accuracy study conducted in the outpatient clinic of Rofaydeh Hospital, Tehran, Iran, between July 2012 and December 2016; it recruited clinically diagnosed CTS patients and a control group. Read More

Balkan Med J 2018 09 1;35(5):378-383. Epub 2018 Jun 1.

Department of Physical Medicine and Rehabilitation, Cooper Medical School of Rowan University, Camden, New Jersey, USA

Background: Diagnosis of carpal tunnel syndrome is based on clinical symptoms, examination findings, and electrodiagnostic studies. For carpal tunnel syndrome, the most useful of these are nerve conduction studies. However, nerve conduction studie can result in ambiguous or false-negative results, particularly for mild carpal tunnel syndrome. Read More

Spinal Cord Ser Cases 2018 21;4:44. Epub 2018 May 21.

1Department of Physical Medicine, Rehabilitation and Sport Medicine, University of Puerto Rico-School of Medicine, San Juan, Puerto Rico.

Introduction: Brown-Séquard Syndrome (BSS) is one of the rarest incomplete spinal cord syndromes. The combination of injuries to peripheral nerves and the central nervous system result in an array of symptoms that can result in overlapping clinical presentations and delayed diagnosis. Early detection of spinal cord injury in patients with peripheral nerve injury has been observed to have a positive effect on outcomes. Read More

Semin Musculoskelet Radiol 2018 Jul 23;22(3):344-353. Epub 2018 May 23.

Cattedra "R" di Radiologia-DICMI, Università di Genova, Genova, Italy.

Nerve entrapment syndromes of the upper extremity are associated with structural abnormalities or by an intrinsic abnormality of the nerve. Nerve entrapment syndromes generally have a typical clinical presentation, and findings on physical examination and in conjunction with electrodiagnostic studies imaging is used to evaluate the cause, severity, and etiology of the entrapment. With the development of high-frequency linear array transducers (12-24 MHz), ultrasound (US) is incomparable in terms of spatial resolution to depict morphological aspects and changes in nerves. Read More

Medicine (Baltimore) 2018 05;97(20):e10784

Department of Rehabilitation Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea.

Rationale: We report a case of a 61-year-old patient who developed complex regional pain syndrome (CRPS) type II after a cervical transforaminal epidural steroid injection (CTESI).

Patient Concerns: The patient developed sudden-onset severe pain and swelling of his upper right limb after a cervical transforaminal epidural injection.

Diagnoses: On physical examination, the patient's symptoms and signs corresponded to the Budapest criteria for CRPS. Read More

Iran J Child Neurol 2018 ;12(2):83-90

Department of Pediatric Endocrinology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Objective: Type 1 diabetes mellitus (T1DM) is a chronic immune-mediated disease. Diabetic peripheral neuropathy (DPN) is an important microvascular complication of T1DM. One of the most important risk factors for the development of DPN is poor glycemic control. Read More

Muscle Nerve 2018 Nov 15;58(5):618-624. Epub 2018 Jun 15.

Department of Neurology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA, 27157.

Reliable assessment of brachial plexus disorders can be challenging due to the complexity of the anatomy and variation of potential pathology. Electrodiagnostic testing can be both uncomfortable for the patient and inconclusive. Ultrasound can serve as a complement to clinical assessment, electrodiagnostic testing, and other imaging modalities. Read More

J Chiropr Med 2018 Mar 12;17(1):36-43. Epub 2018 Jan 12.

Department of Physical Medicine and Rehabilitation, Shiraz University of Medical Sciences, Shiraz, Fars, Islamic Republic of Iran.

Objective: The purpose of this study was to assess the diagnostic accuracy of a modified Bragard test compared with the straight leg raise (SLR) test in patients presenting with electrodiagnostic evidence of L5 and S1 nerve root compression.

Methods: This was a cross-sectional study conducted on 506 consecutive patients with signs and symptoms consistent with lumbosacral radiculopathy confirmed by electrodiagnostic study. Patients were evaluated from September 2013 to September 2015 in the physical medicine and rehabilitation outpatient clinic of Shahid Faghihi Teaching Hospital, Shiraz, Iran. Read More

BMC Musculoskelet Disord 2018 01 25;19(1):32. Epub 2018 Jan 25.

Department of Rehabilitation Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

Background: Recent studies have reported that radial extracorporeal shock wave therapy (rESWT) reduces pain and improves function in patients with mild to moderately severe carpal tunnel syndrome (CTS) compared to a placebo. However, most of those studies used multi-session rESWT combined with wrist support and evaluation of efficacy was limited to a maximum of 14 weeks.

Methods: The prospective randomized controlled trial compared efficacy in relieving pain and improving clinical function between single-dose rESWT and local corticosteroid injection (LCsI) over the mid-term (24 weeks). Read More

Ann Rehabil Med 2017 Dec 28;41(6):1100-1104. Epub 2017 Dec 28.

Department of Rehabilitation Medicine, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.

Collet-Sicard syndrome is a rare syndrome that involves paralysis of 9th to 12th cranial nerves. We report an uncommon case of schwannoma of the hypoglossal nerve in a 39-year-old woman presented with slurred speech, hoarse voice, and swallowing difficulty. Physical examination revealed decreased gag reflex on the right side, decreased laryngeal elevation, tongue deviation to the right side, and weakness of right trapezius muscle. Read More

Chin J Traumatol 2017 Dec 4;20(6):370-372. Epub 2017 Nov 4.

Department of Electrodiagnostic Studies, Armed Forces Institute of Rehabilitation Medicine, Rawalpindi, 46000, Punjab, Pakistan.

A number of orthopedic injuries can occur during epileptic seizures. Anterior shoulder dislocation is one such orthopedic injury that is quite rare. The shoulder dislocation may injure the brachial plexus. Read More

Endocrine 2018 05 15;60(2):219-223. Epub 2017 Nov 15.

Department of Translational Neurosciences and Neurotherapeutics, John Wayne Cancer Institute and Pacific Neuroscience Institute, Santa Monica, CA, USA.

Introduction: Steroid myopathy is a well-known sign of endogenous Cushing's syndrome as well as a side effect of glucocorticoid administration. The clinical finding of muscle weakness and the clinical inspection of the muscle size are the most commonly used diagnostic tools, sometimes in combination with needle electromyography, but there are no means to detect the myopathy before the appearance of clinical or electrodiagnostic signs. Until now, no guidelines have been produced for a disease-specific evaluation of muscle impairment in patients with Cushing's syndrome. Read More

Acta Med Iran 2017 Aug;55(8):496-501

Department of Physical Medicine and Rehabilitation, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

Multiple sclerosis (MS) is the most common cause of disability after trauma in young adults in Northern Hemisphere; it imposes a major burden on the affected young people. A significant association between MS and demyelinating peripheral neuropathy which might be due to common pathogenesis for the central and peripheral nerves demyelination has been reported in several studies. We aimed to assess if there is any peripheral nervous system involvement in a sample of Iranian MS population. Read More

Vet Anaesth Analg 2017 Sep 2;44(5):1085-1090. Epub 2017 Mar 2.

Department of Small Animal Medicine and Surgery, Faculty of Veterinary Medicine, Catholic University of Valencia "San Vicente Mártir", Spain.

Objective: To compare the effects of general anaesthesia using sevoflurane or alfaxalone on the brainstem auditory evoked response (BAER) test in adult healthy cats.

Study Design: Prospective, clinical, 'blinded', crossover study.

Animals: Ten feral adult healthy cats. Read More

Exp Ther Med 2017 Sep 9;14(3):2025-2030. Epub 2017 Jul 9.

Department of Orthopaedics, Juntendo University School of Medicine, Tokyo 113-8421, Japan.

In the present study, the thenar muscles were evaluated using magnetic resonance imaging (MRI), in addition, the correlations between thenar muscle changes, clinical findings and electrodiagnostic results from patients with carpal tunnel syndrome were investigated. The subjects were 13 patients (17 wrists) who were clinically diagnosed with carpal tunnel syndrome. In all patients, a medical history was obtained and physical examination was performed, in addition to assessment using the Kapandji scoring system, visual analogue scale (VAS), quick-disabilities of the arm, shoulder and hand (Q-DASH) score, electrodiagnostic results of the median nerve, and MRI of the thenar muscles. Read More

Am J Phys Med Rehabil 2018 02;97(2):134-140

From the Department of PM&R, Spaulding Rehabilitation Hospital, Harvard Medical School (JD, MvdR, SS, SP); Department of Biostatistics, Boston University School of Public Health (ELM); and VA Boston Healthcare System (SP), Boston, Massachusetts.

Electrodiagnostic medicine is a required component of Physical Medicine and Rehabilitation residency education, but limited resources exist to guide curriculum development. Our objective was to create a focused workshop to enhance our residency program's electrodiagnostic curriculum. We created two separate 1. Read More

J Forensic Leg Med 2017 Nov 24;52:89-92. Epub 2017 Aug 24.

Ph.D student in Educational Psychology, Islamic Azad University of Tabriz, Tabriz, Iran.

Background: Peripheral nerve injuries (PNI) are relatively common pathologies in clinical practice. PNIs are rare in the lower extremity but have worse prognosis than those in the upper extremity. Electrodiagnostic studies could help better understanding PNIs. Read More

J Electromyogr Kinesiol 2018 Feb 10;38:203-207. Epub 2017 Aug 10.

Marmara University School of Medicine, Department of Physical Medicine and Rehabilitation, Istanbul, Turkey.

Objective: To evaluate the relationship between extramedian spreading of sensorial symptoms and median and ulnar nerve cross-sectional area (CSA) and to compare the ultrasonographic and electrophysiological findings in patients with carpal tunnel syndrome (CTS) with or without extramedian sensory symptoms.

Design: Cross-sectional study.

Materials And Methods: Patients with CTS were divided into two groups as with or without extramedian symptoms and were assessed clinically, electrophysiologically and ultrasonographically by three blind investigators. Read More

Neuromuscul Disord 2017 Sep 16;27(9):804-815. Epub 2017 Jun 16.

Université Paris-Est, Ecole nationale vétérinaire d'Alfort (EnvA), Unité de Neurologie, 7 avenue du Général de Gaulle, 94700 Maisons-Alfort, France; Inserm, IMRB U955-E10 Biology of the Neuromuscular System, 8 rue du général Sarrail, 94000 Créteil, France.

Acquired myasthenia gravis (MG) is relatively uncommon in cats. In humans, MG may be associated with other immune-mediated disorders, in particular polymyositis (PM). In this study, we described in-depth electrodiagnostic findings and pathological changes in muscles of cats diagnosed with MG, and assessed the presence of concurrent PM. Read More

Eplasty 2017 5;17:e16. Epub 2017 May 5.

University of Louisville School of Medicine, Louisville, Ky.

Objective: Physicians should be aware of patients trying to obtain a diagnosis for secondary gain. Malingering is a diagnosis that should be suspected when objective findings do not support the subjective symptoms and there is secondary gain.

Methods: A series of 21 cases are presented that support this position. Read More

PM R 2017 Nov 19;9(11):1085-1094. Epub 2017 Apr 19.

Department of Rehabilitation Medicine, Daegu Fatima Hospital, Ayangro 99, Dong gu, Daegu 41199, Republic of Korea; Department of Pharmacology, Kyungpook National University School of Medicine, Daegu, Republic of Korea(∗). Electronic address:

Background: To date, there have been conflicting suggestions regarding the initial pathogenesis of carpal tunnel syndrome (CTS). It has been characterized as either inflammation of the median nerve caused by compression or noninflammatory fibrosis of the subsynovial connective tissue (SSCT).

Objective: To investigate the initial pathogenesis of CTS, we compared the deformation and displacement of the median nerve in accordance with the electrophysiological severity between patients with CTS (via the Bland scale) and healthy controls. Read More

PM R 2017 Oct 9;9(10):1042-1046. Epub 2017 Apr 9.

Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, No. 201, Shih-Pai Road, Section 2, Taipei, 11217 Taiwan(§). Electronic address:

Massage-related nerve injury is an uncommon, rarely reported complication. We report an unusual case of radial nerve neuropathy at the spiral groove in a 58-year-old woman that resulted from a single episode of deep tissue massage. Although the spiral groove is known as the most common site implicated in radial nerve neuropathy, to our knowledge, there have not previously been any reports of massage-related spiral groove radial nerve neuropathy. Read More

Muscle Nerve 2018 Jan 17;57(1):77-82. Epub 2017 Jun 17.

Department of Pediatrics, Section of Pediatric Tropical Medicine, National School of Tropical Medicine, Baylor College of Medicine and Texas Children's Hospital, One Baylor Plaza, BCM 320, Houston, Texas, 77030, USA.

Introduction: Neuromuscular clinical manifestations during acute West Nile virus (WNV) infection are well documented; however, long-term neurologic outcomes still require investigation.

Methods: We conducted a long-term follow-up study in patients with history of WNV infection. Of the 117 patients who participated in neurologic and neurocognitive evaluations, 30 were referred for neuromuscular and electrodiagnostic evaluation based on abnormal findings. Read More

Ann Rehabil Med 2017 Feb 28;41(1):58-65. Epub 2017 Feb 28.

Department of Physical Medicine & Rehabilitation, College of Medicine, Korea University, Seoul, Korea.

Objective: To investigate the contributing factors of carpal tunnel syndrome (CTS), electrodiagnostic and ultrasonographic findings of median nerve, and median nerve change after exercise in wheelchair basketball (WCB) players.

Methods: Fifteen WCB players with manual wheelchairs were enrolled in the study. Medical history of the subjects was taken. Read More

J Hand Surg Am 2017 May 8;42(5):386.e1-386.e5. Epub 2017 Mar 8.

Department of Orthopaedic Surgery, Sidney Kimmel School of Medicine, Thomas Jefferson University, Philadelphia, PA. Electronic address:

Purpose: A diagnostic maneuver known as the "scratch-collapse test" (SCT), to aid in the diagnosis of compressive upper limb neuropathies such as carpal tunnel syndrome (CTS), has been described. There is a wide variability in the sensitivity and specificity values reported to date, and the reason for this discrepancy is unclear. The purpose of this study was to evaluate the utility of the SCT performed by examiners blinded to the meaning of the examination. Read More

Clin Neurol Neurosurg 2017 May 6;156:1-3. Epub 2017 Mar 6.

Department of Neurology, Wake Forest School of Medicine, 1 Medical Center Boulevard, Winston Salem, NC 27157, USA. Electronic address:

Background: Botulinum is a potent neurotoxin with increasing indications for neurologic disorders. While clinical benefit manifests primarily due to local actions at the neuromuscular junction, regional and systemic effects do occur. Rarely, systemic symptoms including weakness, dysarthria, dysphagia and other side effects occur as a result of iatrogenic botulinum neurotoxicity. Read More

Neurosurg Focus 2017 Mar;42(3):E10

Departments of 1 Neurosurgery.

OBJECTIVE The authors have observed that a subset of patients referred for evaluation of peroneal neuropathy with "negative" findings on MRI of the knee have subtle evidence of a peroneal intraneural ganglion cyst on subsequent closer inspection. The objective of this study was to introduce the nearly invisible peroneal intraneural ganglion cyst and provide illustrative cases. The authors further wanted to identify clues to the presence of a nearly invisible cyst. Read More

J Clin Neurosci 2017 May 10;39:111-113. Epub 2017 Feb 10.

Department of Neurology, Duke University Hospital, Durham, NC, USA.

Carpal tunnel syndrome (CTS) is known to develop post-stroke. Median nerve ultrasound (US) is an inexpensive, effective means of screening. In this prospective feasibility study, we compared the ability of the physical exam, the Boston Carpal Tunnel Questionnaire (BCTQ) and median nerve US to screen for carpal tunnel syndrome (CTS) within 72hours of stroke onset. Read More

Vet Clin North Am Food Anim Pract 2017 Mar;33(1):9-18

Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, 900 East Campus Drive, Columbia, MO 65211, USA. Electronic address:

A variety of diagnostic tests can be used to help further characterize and diagnose neurologic disease in ruminant species. Cerebrospinal fluid is easily collected, and analysis can help in defining the broad category of disease. Diagnostic imaging, including radiography, myelography, ultrasonography, computed tomography, and MRI, have all been used to varying degrees in ruminants. Read More

Pain Pract 2017 11 25;17(8):1105-1108. Epub 2017 Feb 25.

Department of Physical Medicine and Rehabilitation, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.

Meralgia paresthetica (MP) is an entrapment neuropathy of the lateral femoral cutaneous nerve (LFCN). There are many variations in the course of the LFCN. A 55-year-old woman presented with pain and tingling sensations on the anterolateral aspect of her left thigh. Read More

Am Fam Physician 2016 Dec;94(12):993-999

Via Christi Family Medicine Residency, University of Kansas School of Medicine-Wichita, Wichita, KS, USA.

Carpal tunnel syndrome, the most common entrapment neuropathy of the upper extremity, is caused by compression of the median nerve as it travels through the carpal tunnel. Classically, patients with the condition experience pain and paresthesias in the distribution of the median nerve, which includes the palmar aspect of the thumb, index and middle fingers, and radial half of the ring finger. Additional clues include positive physical examination findings, such as the flick sign, Phalen maneuver, and median nerve compression test. Read More

Muscle Nerve 2017 07 17;56(1):7-14. Epub 2017 Mar 17.

Department of Neurology, Wake Forest School of Medicine, Main Floor Reynolds Tower, Winston-Salem, North Carolina, 27157, USA.

Introduction: Clinicians who treat nerve and muscle disorders may be asked to evaluate patients who have unilateral or bilateral scapular winging. Traditionally, this evaluation has relied upon a thorough history, physical examination, and electrodiagnostic testing to localize the cause of winging and detect the underlying neuromuscular pathology. Neuromuscular ultrasound has emerged as a non-invasive technique that can be used for structural evaluation of nerve and muscle abnormalities. Read More

Eur J Cancer Care (Engl) 2017 Nov 22;26(6). Epub 2016 Dec 22.

Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

The aim of this retrospective study was to evaluate common causes of upper extremity sensory disturbance in breast cancer patients. Breast cancer patients who received surgery and taxane chemotherapy (CTx) with upper extremity sensory disturbance that began after CTx were included. With comprehensive clinical history, physical examination and electrodiagnostic results, diagnosis for each patient was made. Read More

Ann Rehabil Med 2016 Oct 31;40(5):902-914. Epub 2016 Oct 31.

Department of Rehabilitation Medicine, Gyeongsang National University Hospital, Jinju, Korea.

Objective: To determine the prevalence and related characteristics of carpal tunnel syndrome (CTS) in orchardists and to investigate the association between electrodiagnostic severity and physical examinations.

Methods: Between July 2013 and September 2014, 377 subjects (174 men and 203 women) visited the Gyeongsang National University Hospital's Center for Farmer's Safety and Health. All the subjects underwent electrodiagnostic tests and physical examination, including Phalen's test, Tinel's sign, and Durkan's carpal compression test (CCT). Read More

Parkinsons Dis 2016 24;2016:4958068. Epub 2016 Oct 24.

Neurology Department, Medicine Faculty, Gazi University, Emniyet, Yenimahalle, 06560 Ankara, Turkey.

. While increasing evidence suggests comorbidity of peripheral neuropathy (PNP) and Parkinson's disease (PD), the pathogenesis of PNP in PD is still a debate. The aim of this article is to search the core PD symptoms such as rigidity and tremor as contributing factors to mononeuropathy development while emphasizing each individual patient's asymmetric symptom severity. Read More