PEDIATRIC MEDIAN MONONEUROPATHIES - A CLINICAL AND ELECTROMYOGRAPHIC STUDY

被引:30
作者
DEYMEER, F
JONES, HR
机构
[1] LAHEY CLIN FDN,DEPT NEUROL,BURLINGTON,MA 01805
[2] CHILDRENS HOSP,DEPT NEUROL,BOSTON,MA 02115
[3] HARVARD UNIV,SCH MED,BOSTON,MA
关键词
PEDIATRIC MEDIAN MONONEUROPATHIES; CARPAL TUNNEL SYNDROME; ELECTROMYOGRAPHY; NERVE CONDUCTION STUDY;
D O I
10.1002/mus.880170709
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Seventeen children, 6 girls and 11 boys, aged 5-17 years with pediatric median mononeuropathies (PMM) were identified among 1809 who had EMGs primarily in the electromyographic laboratory at The Children's Hospital, Boston, between 1979 and 1993. Electromyography documented the PMM to be at the wrist in 7 children, including 3 children with idiopathic carpal tunnel syndrome (CTS)-1 whose symptoms were accentuated by skiing-2 with a systemic illness (mucolipidosis III and scleroderma), and in 1 child each the distal PMM was secondary to a cast or laceration. A proximal PMM was identified in 10 children, including 8 with trauma, 1 with an osteoid osteoma, and 1 with juvenile cutaneous mucinosis. Five children (3 with CTS and 1 each with mucolipidosis III and juvenile cutaneous mucinosis) had bilateral disease. The localization (59% proximal) and cause of these PMMs differed greatly from our experience with adult median neuropathies. (C) 1994 John Wiley and Sons, Inc.
引用
收藏
页码:755 / 762
页数:8
相关论文
共 55 条
[1]   LIPOFIBROMATOUS HAMARTOMA OF NERVE [J].
AMADIO, PC ;
REIMAN, HM ;
DOBYNS, JH .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1988, 13A (01) :67-75
[2]   CONGENITAL CARPAL-TUNNEL SYNDROME [J].
BARFRED, T ;
IPSEN, T .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1985, 10A (02) :246-248
[3]   NEUROFIBROMA IN MEDIAN NERVE TREATED WITH RESECTION AND FREE NERVE TRANSPLANTATION - CASE-REPORTS [J].
BARFRED, T ;
ZACHARIAE, L .
SCANDINAVIAN JOURNAL OF PLASTIC AND RECONSTRUCTIVE SURGERY AND HAND SURGERY, 1975, 9 (03) :245-248
[4]   CARPAL-TUNNEL SYNDROME AS THE INITIAL MANIFESTATION OF SCLERODERMA [J].
BARR, WG ;
BLAIR, SJ .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1988, 13A (03) :366-368
[5]   NEUROLOGICAL COMPLICATIONS OF SYSTEMIC-SCLEROSIS - A REPORT OF 3 CASES AND REVIEW OF THE LITERATURE [J].
BERTHJONES, J ;
COATES, PAA ;
GRAHAMBROWN, RAC ;
BURNS, DA .
CLINICAL AND EXPERIMENTAL DERMATOLOGY, 1990, 15 (02) :91-94
[6]   ENTRAPMENT NEUROPATHY OF THE MEDIAN NERVE AT THE LEVEL OF THE LIGAMENT OF STRUTHERS [J].
BILGE, T ;
YALAMAN, O ;
BILGE, S ;
COKNESELI, B ;
BARUT, S .
NEUROSURGERY, 1990, 27 (05) :787-789
[7]   THENAR HYPOPLASIA WITH ASSOCIATED RADIOLOGIC ABNORMALITIES [J].
CAVANAGH, NPC ;
YATES, DAH ;
SUTCLIFFE, J .
MUSCLE & NERVE, 1979, 2 (06) :431-436
[8]  
CUHADAR M, 1983, Z KINDERCHIR, V38, P330
[9]   FAMILIAL CARPAL-TUNNEL SYNDROME WITH ONSET IN CHILDHOOD [J].
DANTA, G .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1975, 38 (04) :350-355
[10]  
DAUBE JR, 1991, MUSCLE NERVE, V14, P685