Clinical and neurophysiological features of the hereditary neuropathy with liability to pressure palsy due to the 17p11.2 deletion

Arquivos de Neuro-Psiquiatria - Tập 74 Số 2 - Trang 99-105 - 2016
Aline Pinheiro Martins de Oliveira1, Raquel Campos Pereira1, Patricia Toscano Barreto Nogueira Onofre1, Vanessa Daccach Marques1, Gisele Braziliano de Andrade1, Amilton Antunes Barreira1, Wilson Marques1
1Universidade de Sao Paulo, Faculdade de Medicina de Ribeirao Preto, Departamento de Neurociencias e Ciencias do Comportamento, Ribeirao Preto SP, Brazil.

Tóm tắt

ABSTRACT The hereditary neuropathy with liability to pressure palsies (HNPP) is an autossomal dominant disorder manifesting recurrent mononeuropathies. Objective Evaluate its clinical and nerve conduction studies (NCS) characteristics, searching for diagnostic particularities. Method We reviewed the neurological manifestations of 39 and the NCS of 33 patients. Results Family history was absent in 16/39 (41%). The onset complaints were weakness in 24, pain in 6, sensory deficit in 5 and paresthesias in 4. Pain was seen in 3 other patients. The following neuropathy patterns were found: multiple mononeuropathy (26), mononeuropathy (7), chronic sensorimotor polyneuropathy (4), chronic sensory polyneuropathy (1) and unilateral brachial plexopathy (1). NCS showed a sensorimotor neuropathy with focal conduction slowing in 31, two had mononeuropathy and another brachial plexopathy. Conclusion HNPP presentation is variable and may include pain. The most frequent pattern is of an asymmetrical sensory and motor neuropathy with focal slowing at specific topographies on NCS.

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Tài liệu tham khảo

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