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Non-traumatic brachial plexopathies, clinical, radiological and neurophysiological findings from a tertiary centre.
[neuralgic amyotrophy]
To
establish
the
clinical
characteristics
,
aetiology
,
neuro-physiological
characteristics
,
imaging
findings
and
other
investigations
in
a
cohort
of
patients
with
non-traumatic
brachial
plexopathy
(
BP
)
.
A
3
-
year
retrospective
study
of
patients
with
non-traumatic
BP
identified
by
electromyography
(
EMG
)
and
nerve
conduction
studies
(
NCS
)
.
Clinical
information
was
retrieved
from
patients
'
medical
charts
.
Twenty
-
five
patients
were
identified
.
Causes
of
BP
included
neuralgic
amyotrophy
(
NA
)
(
48
%
)
,
neoplastic
(
16
%
)
,
radiation
(
8
%
)
,
post
infectious
(
12
%
)
,
obstetric
(
4
%
)
,
rucksack
injury
(
4
%
)
,
thoracic
outlet
syndrome
(
4
%
)
and
iatrogenic
(
4
%
)
.
Patients
with
NA
presented
acutely
in
50
%
.
The
onset
was
subacute
in
all
others
.
Outcome
was
better
for
patients
with
NA
.
All
patients
with
neoplastic
disease
had
a
previous
history
of
cancer
.
MRI
was
abnormal
in
3
/
16
patients
(
18
.
8
%
)
.
PET
scanning
diagnosed
metastatic
plexopathy
in
two
cases
.
NA
was
the
most
common
cause
of
BP
in
our
cohort
and
was
associated
with
a
more
favourable
outcome
.
The
authors
note
potentially
discriminating
clinical
characteristics
in
our
population
that
aid
in
the
assessment
of
patients
with
brachial
plexopathies
.
We
advise
NCS
and
EMG
be
performed
in
all
patients
with
suspected
plexopathy
.
Imaging
studies
are
useful
in
selected
patients
.
Diseases
Validation
Diseases presenting
"cancer"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
alpha-thalassemia
benign recurrent intrahepatic cholestasis
cadasil
canavan disease
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital adrenal hyperplasia
congenital diaphragmatic hernia
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
familial hypocalciuric hypercalcemia
familial mediterranean fever
gm1 gangliosidosis
heparin-induced thrombocytopenia
hereditary cerebral hemorrhage with amyloidosis
hirschsprung disease
hodgkin lymphoma, classical
inclusion body myositis
junctional epidermolysis bullosa
kabuki syndrome
kallmann syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
pendred syndrome
pleomorphic liposarcoma
primary effusion lymphoma
proteus syndrome
pyomyositis
pyruvate dehydrogenase deficiency
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
This symptom has already been validated