Motor Branch Biopsy of the Pronator Teres Muscle in a Patient with Painful Forearm Neuropathy
Histological evaluation of a peripheral nerve is often the final diagnostic work-up for a neuropathy of unknown origin, and a distal sensory nerve is usually biopsied. Here, we report the case of a female patient with painful unilateral neuropathy in the upper arm. According to the histological eval...
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Format: | Article |
Language: | English |
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Karger Publishers
2014-07-01
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Series: | Case Reports in Neurology |
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Online Access: | http://www.karger.com/Article/FullText/365883 |
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author | Tomomi Kinoshita Kazuhiro Fukushima Ryu-ta Abe Yuka Ogawa Michitaka Nakagawa Nagaaki Katoh Takuhiro Yoshida Hiroyuki Kato Shu-ichi Ikeda |
author_facet | Tomomi Kinoshita Kazuhiro Fukushima Ryu-ta Abe Yuka Ogawa Michitaka Nakagawa Nagaaki Katoh Takuhiro Yoshida Hiroyuki Kato Shu-ichi Ikeda |
author_sort | Tomomi Kinoshita |
collection | DOAJ |
description | Histological evaluation of a peripheral nerve is often the final diagnostic work-up for a neuropathy of unknown origin, and a distal sensory nerve is usually biopsied. Here, we report the case of a female patient with painful unilateral neuropathy in the upper arm. According to the histological evaluation of the pronator teres motor branch, vasculitis seemed to be the most probable cause of the condition, and steroid therapy improved the patients' symptoms. A biopsy of the motor branch of the pronator teres muscle nerve may be considered a valuable diagnostic option in selected cases with neuropathy affecting the upper limb, when performed in cooperation with neurologists and orthopedic surgeons. |
first_indexed | 2024-12-23T05:50:04Z |
format | Article |
id | doaj.art-6accca2da58d4315b14061d511b91489 |
institution | Directory Open Access Journal |
issn | 1662-680X |
language | English |
last_indexed | 2024-12-23T05:50:04Z |
publishDate | 2014-07-01 |
publisher | Karger Publishers |
record_format | Article |
series | Case Reports in Neurology |
spelling | doaj.art-6accca2da58d4315b14061d511b914892022-12-21T17:57:58ZengKarger PublishersCase Reports in Neurology1662-680X2014-07-016220220610.1159/000365883365883Motor Branch Biopsy of the Pronator Teres Muscle in a Patient with Painful Forearm NeuropathyTomomi KinoshitaKazuhiro FukushimaRyu-ta AbeYuka OgawaMichitaka NakagawaNagaaki KatohTakuhiro YoshidaHiroyuki KatoShu-ichi IkedaHistological evaluation of a peripheral nerve is often the final diagnostic work-up for a neuropathy of unknown origin, and a distal sensory nerve is usually biopsied. Here, we report the case of a female patient with painful unilateral neuropathy in the upper arm. According to the histological evaluation of the pronator teres motor branch, vasculitis seemed to be the most probable cause of the condition, and steroid therapy improved the patients' symptoms. A biopsy of the motor branch of the pronator teres muscle nerve may be considered a valuable diagnostic option in selected cases with neuropathy affecting the upper limb, when performed in cooperation with neurologists and orthopedic surgeons.http://www.karger.com/Article/FullText/365883Motor nerve branch biopsyMultiple mononeuropathyMuscle biopsyNerve biopsyPainful neuropathyPronator teres |
spellingShingle | Tomomi Kinoshita Kazuhiro Fukushima Ryu-ta Abe Yuka Ogawa Michitaka Nakagawa Nagaaki Katoh Takuhiro Yoshida Hiroyuki Kato Shu-ichi Ikeda Motor Branch Biopsy of the Pronator Teres Muscle in a Patient with Painful Forearm Neuropathy Case Reports in Neurology Motor nerve branch biopsy Multiple mononeuropathy Muscle biopsy Nerve biopsy Painful neuropathy Pronator teres |
title | Motor Branch Biopsy of the Pronator Teres Muscle in a Patient with Painful Forearm Neuropathy |
title_full | Motor Branch Biopsy of the Pronator Teres Muscle in a Patient with Painful Forearm Neuropathy |
title_fullStr | Motor Branch Biopsy of the Pronator Teres Muscle in a Patient with Painful Forearm Neuropathy |
title_full_unstemmed | Motor Branch Biopsy of the Pronator Teres Muscle in a Patient with Painful Forearm Neuropathy |
title_short | Motor Branch Biopsy of the Pronator Teres Muscle in a Patient with Painful Forearm Neuropathy |
title_sort | motor branch biopsy of the pronator teres muscle in a patient with painful forearm neuropathy |
topic | Motor nerve branch biopsy Multiple mononeuropathy Muscle biopsy Nerve biopsy Painful neuropathy Pronator teres |
url | http://www.karger.com/Article/FullText/365883 |
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