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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Main Authors: Tomomi Kinoshita, Kazuhiro Fukushima, Ryu-ta Abe, Yuka Ogawa, Michitaka Nakagawa, Nagaaki Katoh, Takuhiro Yoshida, Hiroyuki Kato, Shu-ichi Ikeda
Format: Article
Language:English
Published: Karger Publishers 2014-07-01
Series:Case Reports in Neurology
Subjects:
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.
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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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