Conduction block in neuralgic amyotrophy.
We describe two cases of neuralgic amyotrophy with electrophysiological evidence of conduction block across the lower trunk of the brachial plexus. Low-output impedance stimulation of the cervical spinal roots in combination with collision was used to accurately demonstrate the conduction block. Complete electrophysiological recovery of the conduction block occurred within 3 months. Early clinical and electrophysiological recovery in both patients suggests that, in some cases, demyelination may predominate early in the course of neuralgic amyotrophy.
Department of Clinical Neurological Sciences, London Health Sciences Centre, University Campus, 339 Windermere Road, P.O. Box 5339, London, Ontario, Canada.
B V
BV
Watson
M W
MW
Nicolle
J D
JD
Brown
D000208:Acute Disease; D000328:Adult; D000368:Aged; D001917:Brachial Plexus / Q000503:physiopathology; D020968:Brachial Plexus Neuritis / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology*; D003711:Demyelinating Diseases / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D004558:Electric Stimulation; D004568:Electrodiagnosis; D005260:Female; D006801:Humans; D008297:Male; D009333:Neck; D009431:Neural Conduction; D012075:Remission, Spontaneous; D013126:Spinal Nerve Roots / Q000503:physiopathology