Thenar Motor Neuropathy Electrophysiological Study of 28 Cases
Autor: | Federica Ginanneschi, M. Mondelli, Luca Padua, Alessandro Aretini |
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Rok vydání: | 2010 |
Předmět: |
Adult
Male medicine.medical_specialty Physiology Neural Conduction Anatomic variations Electromyography Sex Factors Physical medicine and rehabilitation Forearm Physiology (medical) Thenar Neuropathy medicine Humans Sensory symptoms Muscle Skeletal Carpal tunnel syndrome Ulnar Nerve Aged Muscle Weakness medicine.diagnostic_test business.industry Middle Aged Hand musculoskeletal system medicine.disease Carpal Tunnel Syndrome Median nerve Median Nerve Occupational Diseases body regions Settore MED/26 - NEUROLOGIA Electrophysiology medicine.anatomical_structure Neurology Female Radial Nerve Neurology (clinical) Thenar Mortor Branch business Motor neuropathy |
Zdroj: | Journal of Clinical Neurophysiology. 27:344-349 |
ISSN: | 0736-0258 |
Popis: | To report an electrophysiological study on thenar motor neuropathy of the median nerve.Twenty-eight consecutive patients (mean age, 48.8 years; 17 men) with dominant hand thenar muscle weakness without sensory symptoms were enrolled in this study. Electromyography of hand and forearm muscles and neurography of median, ulnar, radial, and palmar nerves, including distal motor latency recording from the second interosseous-lumbrical muscles, were performed.Complete denervation of the abductor pollicis brevis muscle was observed in one case and delayed median abductor pollicis brevis-distal motor latency was observed in the others. Other neurographic findings were normal.Thenar motor neuropathy may have different pathogeneses. It may be considered a variant of carpal tunnel syndrome involving the motor branch only or more likely due to chronic direct compression of the branch, because it preferentially affects males, dominant hand, and persons doing manual work. In both cases, anatomic origin and variations in the course of the branch may favor thenar motor neuropathy. |
Databáze: | OpenAIRE |
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