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Peroneal Mononeuropathy

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Acute Complete Foot Drop Caused by Intraneural Ganglion Cyst without a Prior Traumatic Event.

Stavros Stamiris, Dimitrios Stamiris, Athanasios Sarridimitriou, Elissavet Anestiadou, Christos Karampalis, Vasileios Vrangalas,

Intraneural ganglion cysts are benign soft-tissue masses located in the epineurium of peripheral nerves. They originate from nearby joint connections via articular branches. Traumatic events seem to play a role in their pathogenesis as well. Clinical manifestations include pain over the area of the cyst, palpable tender mass, hypoesthesia, and ... Read more >>

Case Rep Orthop (Case reports in orthopedics)
[2020, 2020:1904595]

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Neuromuscular Mimics of Entrapment Neuropathies of Upper Extremities.

James M Gilchrist, Sudeepta Dandapat,

Introduction: Carpal tunnel syndrome and ulnar neuropathy are such common maladies affecting the upper extremties that they often become the default diagnosis when patients complain of numbness, pain, or weakness of the hands. While often correct, there are a number of other conditions that can also cause sensory or motor ... Read more >>

Hand (N Y) (Hand (New York, N.Y.))
[2020, :1558944719898801]

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Modern treatment of perineuriomas: a case-series and systematic review.

Anne-Kathrin Uerschels, Christos Krogias, Andreas Junker, Ulrich Sure, Karsten H Wrede, Oliver Gembruch,

BACKGROUND:Perineuriomas are rare benign peripheral nerve sheath tumours of perineurial cell origin and can be classified into intraneural and extraneural perineuriomas. They most commonly present a mononeuropathy of gradual onset and slow progression, resulting in progressive neurological deficits like hypoesthesia or motor weakness. Therapy is still variable. Aim of the ... Read more >>

BMC Neurol (BMC neurology)
[2020, 20(1):55]

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When size does not matter: a rare case of popliteal artery aneurysm presenting with foot drop and its endovascular management.

Jeong-Moh J Yahng, Lei Ying,

Popliteal artery aneurysms (PAA) are the commonest arterial aneurysm of the periphery. It is defined as focal dilation more than 50% of the normal vessel diameter, which usually varies between 7 and 11 mm. The most common presentation for PAA is claudication due to luminal stenosis caused by mural thrombus or ... Read more >>

J Surg Case Rep (Journal of Surgical Case Reports)
[2019, 2019(12):rjz373]

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Branching Patterns and Anatomical Course of the Common Fibular Nerve.

Goo Young Kim, Chae Hyeon Ryou, Ki Hoon Kim, Dasom Kim, Im Joo Rhyu, Dong Hwee Kim,

OBJECTIVE:To present the branching patterns and anatomical course of the common fibular nerve (CFN) and its relationship with fibular head (FH). METHODS:A total of 21 limbs from 12 fresh cadavers were dissected. The FH width (FH_width), distance between the FH and CFN (FH_CFN), and thickness of the nerve were measured. ... Read more >>

Ann Rehabil Med (Annals of rehabilitation medicine)
[2019, 43(6):700-706]

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Evidence-based recommendations for examination and diagnostic strategies of polyneuropathy electrodiagnosis.

H Tankisi, K Pugdahl, S Beniczky, H Andersen, A Fuglsang-Frederiksen,

The purpose of this report is to recommend evidence-based strategies for polyneuropathy (PNP) electrodiagnosis based on a large cohort of patients examined prospectively. Nerve conduction studies (NCS) of bilateral tibial, peroneal and sural nerves, the latter with both near-nerve-technique (NNT) and surface recordings, were done in 313 patients with clinically ... Read more >>

Clin Neurophysiol Pract (Clinical neurophysiology practice)
[2019, 4:214-222]

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Compressive peroneal neuropathy by an intraneural ganglion cyst combined with L5 radiculopathy: A case report.

Se-Heum Park, Hwan-Kwon Do, Geun-Yeol Jo,

RATIONALE:Most cases of foot drop are known to result from lower motor neuron pathologies, particularly lumbar radiculopathy and peripheral neuropathy, including common peroneal neuropathy. To improve the prognosis of foot drop, it is important to quickly and accurately diagnose the etiology and provide appropriate treatment. PATIENT CONCERNS:A 65-year-old female patient ... Read more >>

Medicine (Baltimore) (Medicine)
[2019, 98(44):e17865]

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Severe Mononeuritis Multiplex due to Rheumatoid Vasculitis in Rheumatoid Arthritis in Sustained Clinical Remission for Decades.

Masanobu Tanemoto, Shin Hisahara, Bungo Hirose, Kazuna Ikeda, Takashi Matsushita, Shuichiro Suzuki, Tatsuo Manabe, Tomihiro Imai, Shun Shimohama,

Rheumatoid vasculitis (RV) usually occurs in patients with refractory rheumatoid arthritis (RA). An 80-year-old woman was transferred to our hospital because of muscle weakness and paresthesia in all 4 limbs. She had been diagnosed with RA 30 years ago and achieved sustained clinical remission. At presentation, polyarthritis and drop foot ... Read more >>

Intern. Med. (Internal medicine (Tokyo, Japan))
[2020, 59(5):705-710]

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Can imaging be the new yardstick for diagnosing peripheral neuropathy?-a comparison between high resolution ultrasound and MR neurography with an approach to diagnosis.

Aakanksha Agarwal, Abhishek Chandra, Usha Jaipal, Meenu Bagarhatta, Kuldeep Mendiratta, Alka Goyal, Raghav Kumar, Naresh Mangalhara,

PURPOSE:Peripheral neuropathies are a group of disorders which affect the peripheral nervous system which have been conventionally diagnosed using electrodiagnostic studies. This study was carried out to assess the role of imaging in diagnosing peripheral mononeuropathy as exact anatomical localisation of the pathology is possible using high-resolution ultrasound and MR ... Read more >>

Insights Imaging (Insights into imaging)
[2019, 10(1):104]

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High-frequency spinal cord stimulation at 10 kHz for the treatment of painful diabetic neuropathy: design of a multicenter, randomized controlled trial (SENZA-PDN).

Nagy A Mekhail, Charles E Argoff, Rod S Taylor, Christian Nasr, David L Caraway, Bradford E Gliner, Jeyakumar Subbaroyan, Elizabeth S Brooks,

BACKGROUND:Painful diabetic neuropathy (PDN), a debilitating and progressive chronic pain condition that significantly impacts quality of life, is one of the common complications seen with long-standing diabetes mellitus. Neither pharmacological treatments nor low-frequency spinal cord stimulation (SCS) has provided significant and long-term pain relief for patients with PDN. This study ... Read more >>

Trials (Trials)
[2020, 21(1):87]

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Cryoglobulinemic Vasculitis Masquerading as Bilateral Carpal Tunnel Syndrome.

Oyintayo Ajiboye, Ishaan Vohra, Bashar Attar, Vatsala Katiyar, Benjamin Mba,

Cryoglobulinemic vasculitis (CV) is a systemic inflammatory syndrome involving small- to medium-sized vessels. Almost half of hepatitis C-infected patients have detectable cryoglobulins levels, but only very few develop clinical manifestations. In this case report, we bring forth a diagnostic challenge of CV. A 52-year-old man with untreated hepatitis C (high viral ... Read more >>

Cureus (Cureus)
[2019, 11(12):e6423]

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Cutaneous polyarteritis nodosa in a 7-year-old boy: difficulties in diagnosis.

Izabela Dybowska-Gołota, Magdalena Krajewska-Włodarczyk, Zbigniew Żuber,

Vasculitides are a diverse group of diseases. The potential diversity of their clinical symptoms requires the exclusion of other systemic connective tissue diseases, infectious diseases or malignancies. Due to similar clinical manifestations, comprehensive differential diagnosis is needed. This paper presents the case of a boy in whom polyarteritis nodosa, early ... Read more >>

Reumatologia (Reumatologia)
[2019, 57(5):301-305]

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Ultrasound in the diagnosis and management of fibular mononeuropathy.

Julie N Bucklan, John A Morren, Steven J Shook,

INTRODUCTION:Ultrasound (US) evaluation of peripheral nerves is a noninvasive, cost-effective approach to diagnosing focal mononeuropathies and guiding surgical management. We used the intranerve ratio to evaluate for possible cut-off values in diagnosis of fibular mononeuropathies (FNs). METHODS:A retrospective analysis of FN confirmed by electrodiagnosis (EDx) was performed to identify intranerve ... Read more >>

Muscle Nerve (Muscle & nerve)
[2019, 60(5):544-548]

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Bilateral Parsonage-Turner Syndrome After Initial Unilateral Presentation: A Case Report.

Brendan Lindgren, Dustin Rivers, Jeffrey Clark,

Parsonage-Turner syndrome (PTS) is a clinical syndrome characterized by rapid onset of upper extremity pain typically followed by varying degrees of weakness and atrophy. In this case, we discuss a 54-year-old female who developed severe right upper extremity pain soon after receiving a shingles vaccine, which was then followed by ... Read more >>

Cureus (Cureus)
[2019, 11(12):e6422]

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Demyelinating Neuropathy Due to Intravascular Large B-cell Lymphoma.

Yuki Fukami, Haruki Koike, Masahiro Iijima, Junichirou Hagita, Hisayoshi Niwa, Ryoji Nishi, Yuichi Kawagashira, Masahisa Katsuno,

We herein report the case of a 67-year-old man who presented with the acute onset of limb weakness. Brain magnetic resonance imaging revealed multiple abnormal-signal-intensity lesions. Steroids were administered, and the patient initially responded. Nerve conduction testing findings were consistent with demyelinating polyneuropathy. A sural nerve biopsy specimen revealed fascicles ... Read more >>

Intern. Med. (Internal medicine (Tokyo, Japan))
[2020, 59(3):435-438]

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Pain and small-fiber affection in hereditary neuropathy with liability to pressure palsies (HNPP).

Tore Thomas Dukefoss, Inge Petter Kleggetveit, Tormod Helås, Ellen Jørum,

Background and aims Hereditary neuropathy with liability to pressure palsies (HNPP) is an autosomal - dominant hereditary neuropathy caused by a deficiency in the peripheral protein PMP-22, due to deletion on chromosome 17p11,2 or in some rare cases point mutations in the PMP-22 gene. The clinical picture is characterized by ... Read more >>

Scand J Pain (Scandinavian journal of pain)
[2019, 20(1):61-68]

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Neurolymphomatosis of the lumbosacral plexus and its branches: case series and literature review.

Pierre R Bourque, Marcos Loreto Sampaio, Jodi Warman-Chardon, Sam Samaan, Carlos Torres,

BACKGROUND:Neurolymphomatosis (NL) is a direct process of invasion of peripheral nerves by lymphoma. It occurs in roughly 5% of patients with lymphoma and represents a particularly difficult diagnostic dilemma when it is the presenting focal manifestation of occult lymphoma. CASE PRESENTATION:We present 3 examples of invasion of the lumbosacral plexus ... Read more >>

BMC Cancer (BMC cancer)
[2019, 19(1):1149]

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Multiple Neurologic Deficits and Cognitive Decline in a Young Woman.

Arunmozhimaran Elavarasi, Jacob George, Mehar Chand Sharma, Kalpana Kumari, Ajay Garg, Awadh Kishor Pandit, Abhishek Satapathy, Vinay Goyal,

We present the clinicopathologic conference of a 34-year-old lady with history of facial palsy 14 years ago who developed new deficits of mononeuritis multiplex, maculopapular rash, pancytopenia, splenomegaly, lung involvement and cognitive decline rapidly over three years. Investigations revealed pancytopenia, reversal of albumin globulin ratio, mediastinal adenopathy, ANA positivity, low ... Read more >>

Ann Indian Acad Neurol (Annals of Indian Academy of Neurology)
[2019, 22(4):506-512]

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High Prevalence of Asymptomatic Anterior Tarsal Tunnel Syndrome in Toddy Tappers of South India: A Case Series of 21 Participants.

Ajay Panwar, Veeramalla Madhavarao, Owais Mohammed, Chandrasekhar Valupadas,

Background   Anterior tarsal tunnel syndrome (ATTS) is an uncommon entrapment neuropathy which occurs due to the compression of deep peroneal nerve under the inferior extensor retinaculum at the ankle. We observed a frequent occurrence of this syndrome in toddy palm tappers and hence, planned to study the association between ... Read more >>

J Neurosci Rural Pract (Journal of neurosciences in rural practice)
[2019, 10(3):506-510]

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Acute sensorimotor polyneuropathy as an early sign of polyarteritis nodosa. A case report.

Valery M Kazakov, Dmitry I Rudenko, Tima R Stuchevskaya, Oxana V Posokhina, Alexander A Skoromets, Semen V Perfilyev,

We examined a patient aged 31 who had a sudden burning paraesthesia, pain and numbness in the lower legs together with an increased temperature of 39°C. Clinical examination showed asymmetrical sensory polyneuropathy more clearly seen in the lower legs and the left wrist, with high ESR (up to 44 mm/h), ... Read more >>

Acta Myol (Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology)
[2019, 38(3):184-188]

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The primary role of radiological imaging in the diagnosis of rare musculoskeletal diseases. Emphasis on ultrasound.

Federica Rossi, Carlo Martinoli, Giovanni Murialdo, Angelo Schenone, Marina Grandis, Diego Ferone, Alberto Stefano Tagliafico,

Objective: In July 2017 a multidisciplinary clinical Center specialized in rare diseases was activated. A rare disease can involve the musculoskeletal system. A multimodality musculoskeletal imaging approach allows for a rapid diagnosis. The purpose of this study was to assess when musculoskeletal radiology, ultrasound in particular, plays a primary role ... Read more >>

J Ultrason (Journal of ultrasonography)
[2019, 19(78):187-192]

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The first report of pure neuritic leprosy with involvement of the anterior femoral cutaneous nerve.

Francisco Bezerra de Almeida Neto, Raul Aureliano Neto, Lucas Machado Carvalho Cardoso,

We describe the case of a young man, 22 years old, a household contact of leprosy, presenting paresthesia in the right leg and great thickening in the anterior femoral nerve and in the ipsilateral sural nerve. There were no typical dermatological lesions of leprosy. Ultrasonography confirmed the clinical finding. The ... Read more >>

Neurol Int (Neurology international)
[2019, 11(2):8001]

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Epidemiology of Peripheral Neuropathy and Lower Extremity Disease in Diabetes.

Caitlin W Hicks, Elizabeth Selvin,

PURPOSE OF REVIEW:Diabetic peripheral neuropathy eventually affects nearly 50% of adults with diabetes during their lifetime and is associated with substantial morbidity including pain, foot ulcers, and lower limb amputation. This review summarizes the epidemiology, risk factors, and management of diabetic peripheral neuropathy and related lower extremity complications. RECENT FINDINGS:The ... Read more >>

Curr. Diab. Rep. (Current diabetes reports)
[2019, 19(10):86]

Cited: 1 time

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Transient pelvic limb neuropathy following proximal metatarsal and tarsal magnetic resonance imaging in seven horses.

K L Moreno, E M Scallan, W O Friedeck, B T Simon,

BACKGROUND:Pelvic limb neuropathy is a rare post-anaesthetic complication. In the authors' experiences, the incidence of post-anaesthesia neuropathy is increased following MRI of the proximal metatarsus and tarsal regions when compared with previously reported incidences of post-anaesthetic neuropathy. OBJECTIVES:This study reports the incidence, diagnosis, treatment and outcome of seven horses with ... Read more >>

Equine Vet. J. (Equine veterinary journal)
[2019, :]

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Needle EMG muscle identification: A systematic approach to needle EMG examination.

Daniel L Menkes, Robert Pierce,

The proper performance of needle electromyography (EMG) requires that the examiner obtain a brief but comprehensive history, perform a directed examination and generate a short differential diagnosis as part of the initial patient encounter. Equally as important is to set reasonable expectations for this study's performance as electronic media do ... Read more >>

Clin Neurophysiol Pract (Clinical neurophysiology practice)
[2019, 4:199-211]

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