Neuralgic Amyotrophy and Hourglass Nerve Constriction/Nerve Torsion: Two Sides of the Same Coin? A Clinical Review
Neuralgic amyotrophy, also called Parsonage–Turner syndrome, in its classic presentation is a brachial plexopathy or a multifocal neuropathy, involving mainly motor nerves of the upper limb with a monophasic course. Recently, a new radiological entity was described, the hourglass constriction, which...
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MDPI AG
2024-01-01
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| Series: | Brain Sciences |
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| Online Access: | https://www.mdpi.com/2076-3425/14/1/67 |
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| author | Giuseppe Granata Fabiola Tomasello Maria Ausilia Sciarrone Vito Stifano Liverana Lauretti Marco Luigetti |
| author_facet | Giuseppe Granata Fabiola Tomasello Maria Ausilia Sciarrone Vito Stifano Liverana Lauretti Marco Luigetti |
| author_sort | Giuseppe Granata |
| collection | DOAJ |
| description | Neuralgic amyotrophy, also called Parsonage–Turner syndrome, in its classic presentation is a brachial plexopathy or a multifocal neuropathy, involving mainly motor nerves of the upper limb with a monophasic course. Recently, a new radiological entity was described, the hourglass constriction, which is characterized by a very focal constriction of a nerve, or part of it, usually associated with nerve thickening proximally and distally to the constriction. Another condition, which is similar from a radiological point of view to hourglass constriction, is nerve torsion. The pathophysiology of neuralgic amyotrophy, hourglass constriction and nerve torsion is still poorly understood, and a generic role of inflammation is proposed for all these conditions. It is now widely accepted that nerve imaging is necessary in identifying hourglass constrictions/nerve torsion pre-surgically in patients with an acute mononeuropathy/plexopathy. Ultrasound and MRI are useful tools for diagnosis, and they are consistent with intraoperative findings. The prognosis is generally favorable after surgery, with a high rate of good motor recovery. |
| first_indexed | 2024-03-08T11:03:11Z |
| format | Article |
| id | doaj.art-4e66ea7c8a5e4b8695b243f29e09f4df |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-08T11:03:11Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-4e66ea7c8a5e4b8695b243f29e09f4df2024-01-26T15:24:47ZengMDPI AGBrain Sciences2076-34252024-01-011416710.3390/brainsci14010067Neuralgic Amyotrophy and Hourglass Nerve Constriction/Nerve Torsion: Two Sides of the Same Coin? A Clinical ReviewGiuseppe Granata0Fabiola Tomasello1Maria Ausilia Sciarrone2Vito Stifano3Liverana Lauretti4Marco Luigetti5Dipartimento di Neuroscienze, Organi di Senso e Torace, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, ItalyDipartimento di Neuroscienze, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyDipartimento di Neuroscienze, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyDipartimento di Neuroscienze, Organi di Senso e Torace, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, ItalyDipartimento di Neuroscienze, Organi di Senso e Torace, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, ItalyDipartimento di Neuroscienze, Organi di Senso e Torace, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, ItalyNeuralgic amyotrophy, also called Parsonage–Turner syndrome, in its classic presentation is a brachial plexopathy or a multifocal neuropathy, involving mainly motor nerves of the upper limb with a monophasic course. Recently, a new radiological entity was described, the hourglass constriction, which is characterized by a very focal constriction of a nerve, or part of it, usually associated with nerve thickening proximally and distally to the constriction. Another condition, which is similar from a radiological point of view to hourglass constriction, is nerve torsion. The pathophysiology of neuralgic amyotrophy, hourglass constriction and nerve torsion is still poorly understood, and a generic role of inflammation is proposed for all these conditions. It is now widely accepted that nerve imaging is necessary in identifying hourglass constrictions/nerve torsion pre-surgically in patients with an acute mononeuropathy/plexopathy. Ultrasound and MRI are useful tools for diagnosis, and they are consistent with intraoperative findings. The prognosis is generally favorable after surgery, with a high rate of good motor recovery.https://www.mdpi.com/2076-3425/14/1/67hourglass-like constrictionnerve torsionneuralgic amyotrophyradial nerve palsyanterior interosseous nerve palsyposterior interosseous nerve palsy |
| spellingShingle | Giuseppe Granata Fabiola Tomasello Maria Ausilia Sciarrone Vito Stifano Liverana Lauretti Marco Luigetti Neuralgic Amyotrophy and Hourglass Nerve Constriction/Nerve Torsion: Two Sides of the Same Coin? A Clinical Review Brain Sciences hourglass-like constriction nerve torsion neuralgic amyotrophy radial nerve palsy anterior interosseous nerve palsy posterior interosseous nerve palsy |
| title | Neuralgic Amyotrophy and Hourglass Nerve Constriction/Nerve Torsion: Two Sides of the Same Coin? A Clinical Review |
| title_full | Neuralgic Amyotrophy and Hourglass Nerve Constriction/Nerve Torsion: Two Sides of the Same Coin? A Clinical Review |
| title_fullStr | Neuralgic Amyotrophy and Hourglass Nerve Constriction/Nerve Torsion: Two Sides of the Same Coin? A Clinical Review |
| title_full_unstemmed | Neuralgic Amyotrophy and Hourglass Nerve Constriction/Nerve Torsion: Two Sides of the Same Coin? A Clinical Review |
| title_short | Neuralgic Amyotrophy and Hourglass Nerve Constriction/Nerve Torsion: Two Sides of the Same Coin? A Clinical Review |
| title_sort | neuralgic amyotrophy and hourglass nerve constriction nerve torsion two sides of the same coin a clinical review |
| topic | hourglass-like constriction nerve torsion neuralgic amyotrophy radial nerve palsy anterior interosseous nerve palsy posterior interosseous nerve palsy |
| url | https://www.mdpi.com/2076-3425/14/1/67 |
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