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Characteristic features of hereditary neuropathy with liability to pressure palsy (HNPP) presenting with brachial plexopathy in soldiers.
J Neurol Sci. 2014 Nov 15; 346(1-2):174-7.JN

Abstract

A brachial plexus lesion is not common in hereditary neuropathy with liability to pressure palsy (HNPP). We report the clinical and electrodiagnostic features of young soldiers with HNPP presenting with brachial plexopathy. By reviewing 2year medical records from Korean military hospitals, we identified soldiers with brachial plexus lesions. Among them, patients diagnosed with HNPP were determined and clinical and electrophysiological findings were compared between HNPP and non-HNPP patients with a brachial plexus lesion. Thirteen patients (6.8%) were diagnosed with HNPP among 189 patients with a brachial plexus lesion. Push-ups, as either a punishment or an exercise, was the most frequent preceding event in HNPP patients (76.9%), whereas it was rare in non-HNPP patients. The distal motor latency of the median nerve showed the highest sensitivity (90.9%) and specificity (100%) for HNPP in patients with a brachial plexus lesion. In conclusion, HNPP should be suspected in patients with brachial plexopathy if brachial plexopathy develops after push-ups or if the distal motor latency of median nerves is prolonged.

Authors+Show Affiliations

Department of Rehabilitation Medicine, Armed Forces Capital Hospital, 81, Saemaeul-ro 177beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do Zip code: 463-040, Republic of Korea. Electronic address: reorle@gmail.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25175852

Citation

Kim, Kyoung-Eun. "Characteristic Features of Hereditary Neuropathy With Liability to Pressure Palsy (HNPP) Presenting With Brachial Plexopathy in Soldiers." Journal of the Neurological Sciences, vol. 346, no. 1-2, 2014, pp. 174-7.
Kim KE. Characteristic features of hereditary neuropathy with liability to pressure palsy (HNPP) presenting with brachial plexopathy in soldiers. J Neurol Sci. 2014;346(1-2):174-7.
Kim, K. E. (2014). Characteristic features of hereditary neuropathy with liability to pressure palsy (HNPP) presenting with brachial plexopathy in soldiers. Journal of the Neurological Sciences, 346(1-2), 174-7. https://doi.org/10.1016/j.jns.2014.08.018
Kim KE. Characteristic Features of Hereditary Neuropathy With Liability to Pressure Palsy (HNPP) Presenting With Brachial Plexopathy in Soldiers. J Neurol Sci. 2014 Nov 15;346(1-2):174-7. PubMed PMID: 25175852.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Characteristic features of hereditary neuropathy with liability to pressure palsy (HNPP) presenting with brachial plexopathy in soldiers. A1 - Kim,Kyoung-Eun, Y1 - 2014/08/22/ PY - 2014/04/07/received PY - 2014/08/13/revised PY - 2014/08/15/accepted PY - 2014/9/2/entrez PY - 2014/9/2/pubmed PY - 2015/8/5/medline KW - Brachial plexopathy KW - Electrodiagnostic study KW - Hereditary neuropathy with liability to pressure palsy (HNPP) KW - Median nerve KW - Peripheral neuropathy KW - Soldier SP - 174 EP - 7 JF - Journal of the neurological sciences JO - J Neurol Sci VL - 346 IS - 1-2 N2 - A brachial plexus lesion is not common in hereditary neuropathy with liability to pressure palsy (HNPP). We report the clinical and electrodiagnostic features of young soldiers with HNPP presenting with brachial plexopathy. By reviewing 2year medical records from Korean military hospitals, we identified soldiers with brachial plexus lesions. Among them, patients diagnosed with HNPP were determined and clinical and electrophysiological findings were compared between HNPP and non-HNPP patients with a brachial plexus lesion. Thirteen patients (6.8%) were diagnosed with HNPP among 189 patients with a brachial plexus lesion. Push-ups, as either a punishment or an exercise, was the most frequent preceding event in HNPP patients (76.9%), whereas it was rare in non-HNPP patients. The distal motor latency of the median nerve showed the highest sensitivity (90.9%) and specificity (100%) for HNPP in patients with a brachial plexus lesion. In conclusion, HNPP should be suspected in patients with brachial plexopathy if brachial plexopathy develops after push-ups or if the distal motor latency of median nerves is prolonged. SN - 1878-5883 UR - https://www.unboundmedicine.com/medline/citation/25175852/Characteristic_features_of_hereditary_neuropathy_with_liability_to_pressure_palsy__HNPP__presenting_with_brachial_plexopathy_in_soldiers_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-510X(14)00550-4 DB - PRIME DP - Unbound Medicine ER -