Abstract
Sensory nerve action potential (SNAP) amplitude should be abnormal in brachial plexopathies (BP) which cause axonal degeneration in distal segments. Fifty-six patients with BP were identified. In diffuse BP. 22/25 (88%) showed low amplitude or absent median or ulnar SNAP. Three of 5 patients with upper trunk BP had low amplitude or absent SNAP (1 median. 1 radial. 1 lateral antebrachial cutaneous). Seventy-five percent of patients with lower trunk/medial cord BP had low amplitude or absent SNAP (8/24 median. 18/24 ulnar). Overall. 82.5% of patients had low amplitude or absent SNAP when a sensory nerve in the distribution of signs was studied. Testing multiple sensory nerves to include symptomatic regions enhances the diagnostic yield of SNAP in BP.
Original language | English |
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Pages (from-to) | 245-257 |
Number of pages | 13 |
Journal | European Neurology |
Volume | 32 |
Issue number | 5 |
DOIs | |
State | Published - 1992 |
Externally published | Yes |
Keywords
- Brachial plexopathy
- EMG
- Sensory nerve action potential