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Status: Bibliographieeintrag

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Verfasst von:Gstöttner, Clemens [VerfasserIn]   i
 Mayer, Johannes A. [VerfasserIn]   i
 Rassam, Stephanie [VerfasserIn]   i
 Hruby, Laura A. [VerfasserIn]   i
 Salminger, Stefan [VerfasserIn]   i
 Sturma, Agnes [VerfasserIn]   i
 Aman, Martin [VerfasserIn]   i
 Harhaus-Wähner, Leila [VerfasserIn]   i
 Platzgummer, Hannes [VerfasserIn]   i
 Aszmann, Oskar C. [VerfasserIn]   i
Titel:Neuralgic amyotrophy
Titelzusatz:a paradigm shift in diagnosis and treatment
Verf.angabe:Clemens Gstoettner, Johannes A. Mayer, Stephanie Rassam, Laura A. Hruby, Stefan Salminger, Agnes Sturma, Martin Aman, Leila Harhaus, Hannes Platzgummer, Oskar C. Aszmann
E-Jahr:2020
Jahr:[2020]
Umfang:10 S.
Illustrationen:Illustrationen
Teil:volume:91
 year:2020
 number:8
 pages:879-888
 extent:10
Fussnoten:Gesehen am 25.09.2020
Titel Quelle:Enthalten in: Journal of neurology, neurosurgery, and psychiatry
Ort Quelle:London : BMJ Publishing Group, 1944
Jahr Quelle:2020
Band/Heft Quelle:91(2020), 8, Seite 879-888
ISSN Quelle:1468-330X
Abstract:Neuralgic amyotrophy (NA), also known as Parsonage-Turner syndrome, is characterised by sudden pain attacks, followed by patchy muscle paresis in the upper extremity. Recent reports have shown that incidence is much higher than previously assumed and that the majority of patients never achieve full recovery. Traditionally, the diagnosis was mainly based on clinical observations and treatment options were confined to application of corticosteroids and symptomatic management, without proven positive effects on long-term outcomes. These views, however, have been challenged in the last years. Improved imaging methods in MRI and high-resolution ultrasound have led to the identification of structural peripheral nerve pathologies in NA, most notably hourglass-like constrictions. These pathognomonic findings have paved the way for more accurate diagnosis through high-resolution imaging. Furthermore, surgery has shown to improve clinical outcomes in such cases, indicating the viability of peripheral nerve surgery as a valuable treatment option in NA. In this review, we present an update on the current knowledge on this disease, including pathophysiology and clinical presentation, moving on to diagnostic and treatment paradigms with a focus on recent radiological findings and surgical reports. Finally, we present a surgical treatment algorithm to support clinical decision making, with the aim to encourage translation into day-to-day practice.
DOI:doi:10.1136/jnnp-2020-323164
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: https://doi.org/10.1136/jnnp-2020-323164
 Volltext: https://jnnp.bmj.com/content/91/8/879
 DOI: https://doi.org/10.1136/jnnp-2020-323164
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:clinical neurology
 neuromuscular
 neurosurgery
 peripheral nerve surgery
K10plus-PPN:1733736417
Verknüpfungen:→ Zeitschrift

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