Nontraumatic paralysis of the radial nerve with multiple constrictions.
OBJECTIVE
To present an uncommon lesion of radial nerve paralysis with multiple constrictions.


METHODS
Eight patients were treated in our department between January 1994 and August 2000. There were 4 men and 4 women with a mean age of 26 years (10-43 y). The radial nerves of all patients were explored. There were 1 to 5 segmental constrictive lesions at the main trunks of the radial nerves or the posterior interosseous nerves; no obvious extrinsic compression was noted. Epineurolysis was performed in 3 patients, in the other 5 patients the constricted portions of the nerves were resected, and neurorrhaphy was performed in 2 patients, nerve-grafting in 3. Histologic examination of the resected portions showed concentration of inflammatory cells around the vessels in the perineurium.


RESULTS
The patients were followed-up for 6 months to 4 years after surgery. Seven patients had at least grade 4 muscle strength in the involved muscles. One patient who was treated by external neurolysis 15 months after onset had no signs of recovery 10 months after surgery.


CONCLUSIONS
Nontraumatic paralysis of the radial nerve with multiple constrictions is very uncommon. The etiology may be a focal inflammatory response around the feeding arteries in the perineurium.
Yongwei
Pan
P
Department of Hand Surgery, Jishuitan Hospital, Beijing, People's Republic of China.
Guanglei
Tian
T
Jianing
Wei
W
Shuhuan
Wang
W
Qingtai
Li
L
Wen
Tian
T
D000293:Adolescent; D000328:Adult; D002648:Child; D003251:Constriction, Pathologic; D005260:Female; D006801:Humans; D008297:Male; D010243:Paralysis / Q000209:etiology* / Q000601:surgery; D011826:Radial Nerve / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome