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A case of hereditary neuropathy with liability to pressure palsies due to push-up exercise.

Abstract

A 17-year-old man with no familial history developed motor and sensory disturbance of the left upper limb a few days after starting push-up exercise. Neurological examination revealed broad weakness and radial sensory disturbance of the left upper limb and magnetic resonance neurography showed laterality of brachial plexus intensity signals. Therefore, we suspected left brachial plexopathy. However, a nerve conduction study showed a broad disturbance that could not be explained by only brachial plexopathy. Genetic tests revealed a diagnosis of hereditary neuropathy with liability to pressure palsies (HNPP). HNPP should be included in the differential diagnosis for neuropathy due to slight exercise or nerve compression even when familial history is negative.

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  • Authors+Show Affiliations

    ,

    Department of Neurology, Hirosaki University Graduate School of Medicine.

    ,

    Department of Neurology, Hirosaki University Graduate School of Medicine.

    ,

    Department of Neurology, Hirosaki University Graduate School of Medicine.

    Department of Neurology, Hirosaki University Graduate School of Medicine.

    Source

    Rinsho shinkeigaku = Clinical neurology 57:7 2017 07 29 pg 383-386

    MeSH

    Adolescent
    Arm
    Arthrogryposis
    Brachial Plexus
    Diagnosis, Differential
    Diffusion Magnetic Resonance Imaging
    Exercise
    Genetic Testing
    Hereditary Sensory and Motor Neuropathy
    Humans
    Male
    Neural Conduction
    Neuroimaging

    Pub Type(s)

    Case Reports
    Journal Article

    Language

    jpn

    PubMed ID

    28652523

    Citation

    TY - JOUR T1 - A case of hereditary neuropathy with liability to pressure palsies due to push-up exercise. AU - Nakamura,Takumi, AU - Kawarabayashi,Takeshi, AU - Seino,Yusuke, AU - Shoji,Mikio, Y1 - 2017/07/24/ PY - 2017/6/28/pubmed PY - 2017/10/17/medline PY - 2017/6/28/entrez KW - Charcot-Marie-Tooth disease (CMT) KW - PMP22 KW - brachial plexopathy KW - hereditary neuropathy with liability to pressure palsies (HNPP) KW - magnetic resonance neurography SP - 383 EP - 386 JF - Rinsho shinkeigaku = Clinical neurology JO - Rinsho Shinkeigaku VL - 57 IS - 7 N2 - A 17-year-old man with no familial history developed motor and sensory disturbance of the left upper limb a few days after starting push-up exercise. Neurological examination revealed broad weakness and radial sensory disturbance of the left upper limb and magnetic resonance neurography showed laterality of brachial plexus intensity signals. Therefore, we suspected left brachial plexopathy. However, a nerve conduction study showed a broad disturbance that could not be explained by only brachial plexopathy. Genetic tests revealed a diagnosis of hereditary neuropathy with liability to pressure palsies (HNPP). HNPP should be included in the differential diagnosis for neuropathy due to slight exercise or nerve compression even when familial history is negative. SN - 1882-0654 UR - https://www.unboundmedicine.com/medline/citation/28652523/A_case_of_hereditary_neuropathy_with_liability_to_pressure_palsies_due_to_push-up_exercise. L2 - https://dx.doi.org/10.5692/clinicalneurol.cn-001023 ER -