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Review of the Evaluation of Acute Upper Extremity Neuropathy

  • Neurologic Emergencies (J Miller, Section Editor)
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Abstract

Purpose of Review

This review seeks to provide clinicians with an approach to evaluation of individuals with presenting symptoms of upper extremity weakness, paresthesia, or pain. We will discuss advances made in the evaluation and treatment of upper extremity palsies, focusing on expected physical examination findings, initial evaluation, and management.

Recent Findings

While more common syndromes such as carpal tunnel syndrome and cubital tunnel syndrome have well-established diagnostic and treatment algorithms, the less common syndromes also have made advances in examination, electrodiagnostic testing, and both conservative and surgical treatment algorithms.

Summary

In the evaluation of individuals with signs of an upper extremity palsy, it is critical to be comfortable with the anatomy and physical examination of the upper extremity. Advances in electrodiagnostic testing show promising opportunities for prognostication, treatment, and further development of surgical techniques to hopefully improve patient outcomes with upper extremity palsies.

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Schock, A., Mohammad, A., Perrotta, G. et al. Review of the Evaluation of Acute Upper Extremity Neuropathy. Curr Emerg Hosp Med Rep 10, 18–27 (2022). https://doi.org/10.1007/s40138-022-00244-1

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