By Paul W. Brazis, Joseph C. Masdeu, Jose Biller
Now in its 5th variation, this vintage textual content offers a scientific method of the anatomic localization of scientific difficulties in neurology. It bargains clinicians a roadmap for relocating from the symptom or saw signal to where within the principal or peripheral frightened process the place the matter is. transparent discussions by way of 3 famous authors offer a whole realizing of why a symptom or signal should be localized to a selected anatomic sector. greater than a hundred illustrations reveal proper anatomy. This version has been completely up to date and comprises new charts to assist in differential analysis of varied neurologic findings and disorders.
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Additional resources for Localization in Clinical Neurology
The Carpal Tunnel Syndrome The median nerve is particularly vulnerable to compression as it passes into the hand between the carpal bones and the transverse carpal ligament (carpal tunnel) [76, 239, 271, 322]. The incidence of carpal tunnel syndrome is increased among electronic-parts assemblers, frozen-food processors, musicians, cyclists, wheelchair athletes, and dental hygienists; repetitive wrist movements, vibrating tools, awkward wrist positions, and great force seem to correlate with this disorder.
Median nerve entrapment may occur in the forearm because of an accessory bicipital aponeurosis or because of enlarged communicating veins directly compressing the median nerve. Other etiologies include arteriovenous fistulas in patients on chronic renal dialysis, fractures of the ulna or radius, and tumors. , pronator teres and flexor carpi radialis). Sensation is intact. Median nerve damage proximal to the carpal tunnel may occur in wheelchair athletes. The Carpal Tunnel Syndrome The median nerve is particularly vulnerable to compression as it passes into the hand between the carpal bones and the transverse carpal ligament (carpal tunnel) [76, 239, 271, 322].
The patient was noted to also have an area of numbness involving the right upper lateral shoulder. Although the suprascapular nerve is said to have no cutaneous branches, this case provides evidence for a cutaneous branch of the suprascapular nerve. The branch of the infraspinatus muscle may be damaged in isolation by the entrapment of the suprascapular nerve at the spinoglenoid notch by a hypertrophied inferior transverse scapular ligament or a ganglion [7, 175, 189]. This results in shoulder pain, which is elicited by the external rotation of the shoulder joint, associated with weakness and wasting of the infraspinatus.