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Plexopathies

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Atlas of Neuromuscular Diseases

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Abstract

The ventral rami of the upper cervical nerves (C1–4) form the cervical plexus. The plexus lies close to the upper four vertebrae. It descends in a loop-like structure. The skin behind the ear is innervated by the greater auricular nerve, and the occipital scalp by the lesser occipital nerve and the anterior chest down to the nipple. The dorsal rami of C1–4 innervate the paraspinal muscles and the skin at the back of neck. Horner’s syndrome is often associated with a superior cervical ganglion lesion.

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References

  • Bhatia A, Shyam AK, Doshi P, Shah V (2011) Nerve reconstruction: a cohort study of 93 cases of global brachial plexus palsy. Indian J Orthop 45:153–160

    Article  PubMed Central  PubMed  Google Scholar 

  • Caglar S, Dolgun H, Ugur HC et al (2004) Extraforaminal lumbar arterial anatomy. Surg Neurol 61:29–33

    Article  PubMed  Google Scholar 

  • Campell WW (1999) Plexopathies. In: Campell WW (ed) Essentials of electrodiagnostic medicine. Williams & Wilkins, Baltimore, pp 207–224

    Google Scholar 

  • Chen AM, Hall WH, Li J, Beckett L, Farwell DG, Lau DH, Purdy JA (2012) Brachial plexus-associated neuropathy after high-dose radiation therapy for head-and-neck cancer. Int J Radiat Oncol Biol Phys 84:165–169

    Article  PubMed  Google Scholar 

  • Chillemi C (2008) Fracture-dislocation of the shoulder and brachial plexus palsy: a terrible association. J Orthop Traumatol 9:217–220

    Article  PubMed Central  PubMed  Google Scholar 

  • Davis GA, Knight S (2007) Pancoast tumor resection with preservation of brachial plexus and hand function. Neurosurg Focus 22:E15

    PubMed  Google Scholar 

  • Dubuisson A, Nguyen Khac M, Scholtes F et al (2011) Gilliatt-Sumner hand or true neurogenic thoracic outlet syndrome. A report on seven operated cases. Neurochirurgie 57:9–14

    Article  CAS  PubMed  Google Scholar 

  • Dyck PJB, Windebank AJ (2002) Diabetic and nondiabetic lumbosacral radiculoplexus neuropathies: new insights into pathophysiology and treatment. Muscle Nerve 25:477–491

    Article  PubMed  Google Scholar 

  • Evans RJ, Watson CP (2012) The hot foot syndrome: Evans’ sign and the old way. Pain Res Manag 17:31–34

    CAS  PubMed Central  PubMed  Google Scholar 

  • Feasby TE, Burton SR, Hahn AF (1992) Obstetrical lumbosacral plexus injury. Muscle Nerve 15:937–940

    Article  CAS  PubMed  Google Scholar 

  • Ferrante MA (2012) The thoracic outlet syndrome. Muscle Nerve 45:780–795

    Article  PubMed  Google Scholar 

  • Hassan I, Dawn E (2009) Presacral tumors: diagnosis and management. Clin Colon Rectal Surg 22:84–93

    Article  PubMed Central  PubMed  Google Scholar 

  • Hehir MK, Figueroa JJ, Zynda-Weiss AM et al (2012) Unexpected neuroimaging abnormalities in patients with apparent C8 radiculopathy: broadening the clinical spectrum. Muscle Nerve 45:859–865

    Article  PubMed  Google Scholar 

  • Jaeckle KA (1991) Nerve plexus metastases. Neurol Clin 9(4):857–866

    Google Scholar 

  • Knap MM, Bentzen SM, Overgaard J (2007) Late neurological complications after irradiation of malignant tumors of the testis. Acta Oncol 46:497–504

    Article  PubMed  Google Scholar 

  • Ko K, Sung DH, Kang MJ, Ko MJ, Do JG, Sunwoo H, Kwon TG, Hwang JM, Park Y (2011) Clinical, electrophysiological findings in adult patients with non-traumatic plexopathies. Ann Rehabil Med 35:807–815

    Article  PubMed Central  PubMed  Google Scholar 

  • Kori SH, Foley KM, Posner JB (1981) Brachial plexus lesions in patients with cancer. 100 cases. Neurology 31:45–50

    Article  CAS  PubMed  Google Scholar 

  • Kutsy RL, Robinson LR, Routt ML (2000) Lumbosacral plexopathy in pelvic trauma. Muscle Nerve 23:1757–1760

    Article  CAS  PubMed  Google Scholar 

  • Lu S, Chang S, Zhang YZ et al (2011) Clinical anatomy and 3D virtual reconstruction of the lumbar plexus with respect to lumbar surgery. BMC Musculoskelet Disord 12:76. http://www.biomedcentral.com/1471-2474/12/76

  • Millesi H (1998) Trauma involving the brachial plexus. In: Omer GE, Spinner M, Van Beek AL (eds) Management of peripheral nerve disorders. Saunders WB, Philadelphia, pp 433–458

    Google Scholar 

  • Moore K (2005) MR imaging of peripheral nerve. In: Bromberg M, Smith A (eds) Handbook of peripheral neuropathy, 1st edn. Taylor & Francis Group, Boca Raton, p 91

    Chapter  Google Scholar 

  • Mumenthaler M, Schliack H, Stöhr M (1998) Läsionen des Plexus cervico-brachialis. In: Mumenthaler M, Schliack H, Stöhr M (eds) Läsionen peripherer Nerven und radikuläre Syndrome. Thieme Verlag, Stuttgart, pp 203–260

    Google Scholar 

  • Pham CB, Kratz JR, Jelin AC, Gelfand AA (2011) Child neurology: brachial plexus birth injury: what every neurologist needs to know. Neurology 16(77):695–697

    Article  Google Scholar 

  • Povlsen B, Belzberg A, Hansson T, Dorsi M (2010) Treatment for thoracic outlet syndrome. Cochrane Database Syst Rev (1):CD007218

    Google Scholar 

  • Rousseff R, Tzvetanov P, Valkov I (2005) Utility (or futility?) of electrodiagnosis in thoracic outlet syndrome. Electromyogr Clin Neurophysiol 45:131–133

    CAS  PubMed  Google Scholar 

  • Said G, Elgrably F, Lacroix C et al (1997) Painful proximal diabetic neuropathy: inflammatory nerve lesions and spontaneous favorable outcome. Ann Neurol 41:762–770

    Article  CAS  PubMed  Google Scholar 

  • Secer HI, Solmaz I, Anik I et al (2009) Surgical outcomes of the brachial plexus lesions caused by gunshot wounds in adults. J Brachial Plexus Peripher Nerve Inj 4:11

    Article  Google Scholar 

  • Stewart J (2010a) Brachial plexus. In: Stewart J (ed) Focal peripheral neuropathies, 4th edn. JBJ Publishing, West Vancouver, pp 120–161

    Google Scholar 

  • Stewart J (2010b) Upper cervical spinal nerves, cervical plexus and nerves of the neck. In: Stewart J (ed) Focal peripheral neuropathies, 4th edn. JBJ Publishing, West Vancouver, pp 74–100

    Google Scholar 

  • Stewart JD (2010c) Lumbosacral plexus. In: Stewart JD (ed) Focal peripheral neuropathies. JBJ Publishing, West Vancouver, pp 406–431

    Google Scholar 

  • Takahara T, Hendrikse J, Kwee TC et al (2010) Diffusion-weighted MR neurography of the sacral plexus with unidirectional motion probing gradients. Eur Radiol 20:1221–1226

    Article  PubMed Central  PubMed  Google Scholar 

  • Tilki HE, Stålberg E, Incesu L et al (2004) Bilateral neurogenic thoracic outlet syndrome. Muscle Nerve 29:147–150

    Article  PubMed  Google Scholar 

  • van Alfen N, Engelen BGM, Hughes RAC (2009) Treatment for idiopathic and hereditary neuralgic amyotrophy (brachial neuritis). Cochrane Database Syst Rev (3):CD006976. Editorial Group: Cochrane Neuromuscular Disease Group (Published online: 8 Jul 2009). (3):CD006976. doi:10.1002/14651858.CD006976. pub2. Assessed as up-to-date 16 May

  • Visser CP, Coene LN, Brand R et al (1999) The incidence of nerve injury in the anterior dislocation of the shoulder and its influence on functional recovery. A prospective clinical and EMG study. J Bone Joint Surg Br 81:679–685

    Article  CAS  PubMed  Google Scholar 

  • Wohlgemuth WA, Stöhr M (2002) Percutaneous arterial interventional treatment of exercise induced neurogenic intermittent claudication due to ischemia of the lumbosacral plexus. J Neurol 249:988–992

    Article  PubMed  Google Scholar 

  • Younger DS (2011) Diabetic lumbosacral radiculoplexus neuropathy: a postmortem studied patient and review of the literature. J Neurol 258:1364–1367

    Article  PubMed Central  PubMed  Google Scholar 

  • Zhou L, Yousem DM, Chaudhry V (2004) Role of magnetic resonance neurography in brachial plexus lesions. Muscle Nerve 30:305

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Neurology, Kaiser-Franz-Josef-Spital, Wien, Austria

    Wolfgang Grisold

  2. Department of Neurology, University of Michigan, Ann Arbor, MI, USA

    Eva L. Feldman MD, PhD, FAAN, FANA

  3. Klinik für Neurologie, Universitätsklinikum Innsbruck, Innsbruck, Austria

    Wolfgang N. Löscher

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  1. Wolfgang Grisold
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  2. Eva L. Feldman MD, PhD, FAAN, FANA
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  3. Wolfgang N. Löscher
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© 2014 Springer-Verlag Wien

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Grisold, W., Feldman, E.L., Löscher, W.N. (2014). Plexopathies. In: Atlas of Neuromuscular Diseases. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1605-0_7

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  • DOI: https://doi.org/10.1007/978-3-7091-1605-0_7

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  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-1604-3

  • Online ISBN: 978-3-7091-1605-0

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