Ultrasonographic identification of nerve pathology in neuralgic amyotrophy: Enlargement, constriction, fascicular entwinement, and torsion

Zsuzsanna Arányi, Anita Csillik, Katalin Dévay, Maja Rosero, Péter Barsi, Josef Böhm, Thomas Schelle

Research output: Article

39 Citations (Scopus)

Abstract

Introduction: The aim of this study was to characterize the ultrasonographic findings on nerves in neuralgic amyotrophy. Methods: Fourteen patients with neuralgic amyotrophy were examined using high-resolution ultrasound. Results: Four types of abnormalities were found: (1) focal or diffuse nerve/fascicle enlargement (57%); (2) incomplete nerve constriction (36%); (3) complete nerve constriction with torsion (50%; hourglass-like appearance); and (4) fascicular entwinement (28%). Torsions were confirmed intraoperatively and were seen on the radial nerve in 85% of patients. A significant correlation was found between no spontaneous recovery of nerve function and constriction/torsion/fascicular entwinement (P=0.007). Conclusion: Ultrasonographic nerve pathology in neuralgic amyotrophy varies in order of severity from nerve enlargement to constriction to nerve torsion, with treatment ranging from conservative to surgical. We postulate that the constriction caused by inflammation is the precursor of torsion and that development of nerve torsion is facilitated by the rotational movements of limbs.

Original languageEnglish
Pages (from-to)503-511
Number of pages9
JournalMuscle and Nerve
Volume52
Issue number4
DOIs
Publication statusPublished - okt. 1 2015

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Cellular and Molecular Neuroscience
  • Physiology (medical)

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