[Differential diagnosis of the level of traumatic damage of cervical spinal nerves and brachial plexus].
In 80 patients with paresis or paralysis of the upper extremity due to injury to the brachial plexus or cervical roots, EMG with muscular test, skin thermometry and radiculography were done. The comparison of EMG investigations and Lovett's test with the diagram of segmental and peripheral innervation gave only an approximate determination of the level and extent of injury. Skin thermometry demonstrated vasomotór disturbances in 330 patients. Vasodilating activity was present, in the first place, in patients with complete paralysis of the extremity. These cases showed no significant improvement after rehabilitation management. Radiculography permitted to determine exactly the number of damaged spinal nerve pouches and this damage was found in 16 out of 18 patients. The character and location of pain in the upper extremity were without any significant diagnostic value in relation to the site and degree of injury.
D001917:Brachial Plexus / Q000293:injuries*; D002574:Cervical Vertebrae; D003937:Diagnosis, Differential; D004576:Electromyography; D006801:Humans; D010243:Paralysis / Q000175:diagnosis*; D011859:Radiography; D012881:Skin Temperature; D013126:Spinal Nerve Roots / Q000000981:diagnostic imaging / Q000293:injuries*
Róznicowanie poziomu urazowych uszkodzeń szyjnych nerwów rdzeniowych i splotu ramiennego