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Superficial radial neuropathy and brachioradial motor nerve palsy associated with proximal radius osteochondroma
- Gülhane Military Medical Academy, Ankara, Türkiye
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Abstract
The cutaneous branch of the radial nerve (superficial radial nerve, SRN) might be compressed or injured at various anatomical sites along its course in the forearm. Compression of the SRN occurring at the proximal third of the forearm is unusual.
A 22-year-old man was admitted with pain and paraesthesia over the lateral aspect of his right wrist and thumb and pain at the elbow for six months. In electrodiagnostic testing, a sensory nerve action potential from the right SRN could not be recorded, while it was normal on the left. In a needle electromyography study, denervation potentials have been seen in the right brachioradial muscle and a decrease in interference pattern signals was also found. An exophytic lesion of the proximal radius was observed in radiographs. Computed tomography evaluation revealed an osteochondroma of the proximal radius.
Neuropathies of the SRN and the brachioradial motor branch of the radial nerve are thought to be associated with proximal radial osteochondroma.
Abstract
The cutaneous branch of the radial nerve (superficial radial nerve, SRN) might be compressed or injured at various anatomical sites along its course in the forearm. Compression of the SRN occurring at the proximal third of the forearm is unusual.
A 22-year-old man was admitted with pain and paraesthesia over the lateral aspect of his right wrist and thumb and pain at the elbow for six months. In electrodiagnostic testing, a sensory nerve action potential from the right SRN could not be recorded, while it was normal on the left. In a needle electromyography study, denervation potentials have been seen in the right brachioradial muscle and a decrease in interference pattern signals was also found. An exophytic lesion of the proximal radius was observed in radiographs. Computed tomography evaluation revealed an osteochondroma of the proximal radius.
Neuropathies of the SRN and the brachioradial motor branch of the radial nerve are thought to be associated with proximal radial osteochondroma.
Keywords
superficial radial neuropathy, brachioradial motor neuropathy, proximal radial osteochondroma, electromyography
Title
Superficial radial neuropathy and brachioradial motor nerve palsy associated with proximal radius osteochondroma
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
208-210
Page views
283
Article views/downloads
363
DOI
10.1016/S0028-3843(14)60013-X
Bibliographic record
Neurol Neurochir Pol 2010;44(2):208-210.
Keywords
superficial radial neuropathy
brachioradial motor neuropathy
proximal radial osteochondroma
electromyography
Authors
Oğuzhan Öz
Mehmet Yücel
Ümit Ulaş
Erdal Eroğlu
Zeki Odabaşi