Pediatric median mononeuropathies: A clinical and electromyographic study
โ Scribed by Dr. Feza Deymeer; Dr. H. Royden Jones Jr.
- Book ID
- 102956464
- Publisher
- John Wiley and Sons
- Year
- 1994
- Tongue
- English
- Weight
- 661 KB
- Volume
- 17
- Category
- Article
- ISSN
- 0148-639X
No coin nor oath required. For personal study only.
โฆ Synopsis
Seventeen children, 6 girls and 11 boys, aged 5-17 years with pediatric median mononeuropathies (PMM) were identified among 1809 who had EMGs primarily in the electromyographic laboratory at The Children 's Hospital, Boston, between 1979 and 1993. Electromyography documented the PMM to be at the wrist in 7 children, including 3 children with idiopathic carpal tunnel syndrome (CTS)-1 whose symptoms were accentuated by skiing-2 with a systemic illness (mucolipidosis Ill and scleroderma), and in 1 child each the distal PMM was secondary to a cast or laceration. A proximal PMM was identified in 10 children, including 8 with trauma, 1 with an osteoid osteoma, and 1 with juvenile cutaneous mucinosis. Five children (3 with CTS and 1 each with mucolipidosis Ill and juvenile cutaneous mucinosis) had bilateral disease. The localization (59% proximal) and cause of these PMMs differed greatly from our experience with adult median neuropathies. 0 1994 John Wiley & Sons, Inc.
๐ SIMILAR VOLUMES
Sixteen pediatric radial mononeuropathies were seen among 2077 electromyograms performed in the electromyography laboratory at The Children's Hospital, Boston, during 16.5 years, 1979-1 995. Eight (50%) of these radial neuropathies, including 2 in newborns with apparent prenatal onset, were atraumat
## Abstract Results of electrophysiologic and clinical findings in 17 patients with proximal median neuropathy were reviewed. The cause of neuropathy was trauma in 5 patients, overuse of the pronator teres in 3 patients, postinfectious in 2 patients, secondary to a congenital lesion in 1 patient, a