Document Detail

Recurrent familial brachial plexus palsies as the only clinical expression of 'tomaculous' neuropathy.
MedLine Citation:
PMID:  2540008     Owner:  NLM     Status:  MEDLINE    
Two familial cases of recurrent brachial plexus are described and similar episodes were noticed in other members of the family. Electrophysiological investigations found impaired motor and sensory nerve conduction velocity in affected and nonaffected members. Tomaculous neuropathy was found at biopsy of peripheral nerve in more than 40% of dissected fibers. In addition, two affected members showed a reduced interpupillary distance, i.e. the most common dysmorphic feature found in the hereditary neuralgic amyotrophy (HNA). A literature review showed only two other instances of recurrent familial brachial plexus palsies as the only manifestation of tomaculous neuropathy (hereditary neuropathy with liability to pressure palsy, HNPP). The dysmorphic feature found in our cases in addition to the clinical, electrophysiological and anatomical data support the hypothesis that these cases of HNPP and the HNA may represent the same disease.
P Martinelli; R Fabbri; G Moretto; A S Gabellini; R D'Alessandro; N Rizzuto
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European neurology     Volume:  29     ISSN:  0014-3022     ISO Abbreviation:  Eur. Neurol.     Publication Date:  1989  
Date Detail:
Created Date:  1989-06-05     Completed Date:  1989-06-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0150760     Medline TA:  Eur Neurol     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  61-6     Citation Subset:  IM    
Institute of Neurology, University of Bologna, Italy.
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MeSH Terms
Brachial Plexus / physiopathology*
Microscopy, Electron
Paralysis / physiopathology
Peripheral Nervous System Diseases / physiopathology

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