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[An 18-year-old man of hereditary neuropathy with liability to pressure palsies presenting with bilateral brachial plexopathy during military training].
Rinsho Shinkeigaku. 2021 Oct 28; 61(10):676-680.RS

Abstract

An 18-year-old man without familial history of neuropathy developed motor and sensory disturbance of bilateral upper limbs after maintaining shoulder abduction/external rotation and elbow flection position of both upper limbs for an hour during military training. Neurological examination and electromyography studies suggested left brachial plexopathy, although a nerve conduction study (NCS) showed mild demyelination of bilateral median nerve and right ulnar nerve. Thoracic outlet syndrome (TOS) was firstly suspected because symptoms were induced by the specific position which narrows, costoclavicular and retropectoralis minor space and cause compression of the brachial plexus; however, no findings suggesting TOS were observed on computed tomography and magnetic resonance imaging. Hence, we suspected a diagnosis of hereditary neuropathy with liability to pressure palsies (HNPP) due to having episodes of bilateral acute brachial plexopathy and mild demyelination on NCS. The diagnosis of HNPP was confirmed by the deletion of the PMP22 gene deletion.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Hatake S
Department of Clinical Neuroscience and Neurology, Yamaguchi University Graduate School of Medicine. Department of Neurology, Graduate School of Medicine, Nippon Medical School.
Shimizu F
Department of Clinical Neuroscience and Neurology, Yamaguchi University Graduate School of Medicine.
Oishi M
Department of Clinical Neuroscience and Neurology, Yamaguchi University Graduate School of Medicine.
Kimura K
Department of Neurology, Graduate School of Medicine, Nippon Medical School.
Kanda T
Department of Clinical Neuroscience and Neurology, Yamaguchi University Graduate School of Medicine.

MeSH

AdolescentArthrogryposisBrachial Plexus NeuropathiesDemyelinating DiseasesHereditary Sensory and Motor NeuropathyHumansMaleMilitary Personnel

Pub Type(s)

Case Reports
Journal Article

Language

jpn

PubMed ID

34565753

Citation

Hatake, Seira, et al. "[An 18-year-old Man of Hereditary Neuropathy With Liability to Pressure Palsies Presenting With Bilateral Brachial Plexopathy During Military Training]." Rinsho Shinkeigaku = Clinical Neurology, vol. 61, no. 10, 2021, pp. 676-680.
Hatake S, Shimizu F, Oishi M, et al. [An 18-year-old man of hereditary neuropathy with liability to pressure palsies presenting with bilateral brachial plexopathy during military training]. Rinsho Shinkeigaku. 2021;61(10):676-680.
Hatake, S., Shimizu, F., Oishi, M., Kimura, K., & Kanda, T. (2021). [An 18-year-old man of hereditary neuropathy with liability to pressure palsies presenting with bilateral brachial plexopathy during military training]. Rinsho Shinkeigaku = Clinical Neurology, 61(10), 676-680. https://doi.org/10.5692/clinicalneurol.cn-001619
Hatake S, et al. [An 18-year-old Man of Hereditary Neuropathy With Liability to Pressure Palsies Presenting With Bilateral Brachial Plexopathy During Military Training]. Rinsho Shinkeigaku. 2021 Oct 28;61(10):676-680. PubMed PMID: 34565753.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [An 18-year-old man of hereditary neuropathy with liability to pressure palsies presenting with bilateral brachial plexopathy during military training]. AU - Hatake,Seira, AU - Shimizu,Fumitaka, AU - Oishi,Mariko, AU - Kimura,Kazumi, AU - Kanda,Takashi, Y1 - 2021/09/25/ PY - 2021/9/28/pubmed PY - 2022/3/23/medline PY - 2021/9/27/entrez KW - PMP22 gene KW - brachial plexopathy KW - hereditary neuropathy with liability to pressure palsies KW - peripheral neuropathy KW - thoracic outlet syndrome SP - 676 EP - 680 JF - Rinsho shinkeigaku = Clinical neurology JO - Rinsho Shinkeigaku VL - 61 IS - 10 N2 - An 18-year-old man without familial history of neuropathy developed motor and sensory disturbance of bilateral upper limbs after maintaining shoulder abduction/external rotation and elbow flection position of both upper limbs for an hour during military training. Neurological examination and electromyography studies suggested left brachial plexopathy, although a nerve conduction study (NCS) showed mild demyelination of bilateral median nerve and right ulnar nerve. Thoracic outlet syndrome (TOS) was firstly suspected because symptoms were induced by the specific position which narrows, costoclavicular and retropectoralis minor space and cause compression of the brachial plexus; however, no findings suggesting TOS were observed on computed tomography and magnetic resonance imaging. Hence, we suspected a diagnosis of hereditary neuropathy with liability to pressure palsies (HNPP) due to having episodes of bilateral acute brachial plexopathy and mild demyelination on NCS. The diagnosis of HNPP was confirmed by the deletion of the PMP22 gene deletion. SN - 1882-0654 UR - https://www.unboundmedicine.com/medline/citation/34565753/[An_18_year_old_man_of_hereditary_neuropathy_with_liability_to_pressure_palsies_presenting_with_bilateral_brachial_plexopathy_during_military_training]_ DB - PRIME DP - Unbound Medicine ER -