Muscle & nerve
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Case Reports
Brachial plexus neoplastic lesions assessed by conduction study of medial antebrachial cutaneous nerve.
Two cases of neoplastic involvement of the lower brachial plexus are reported. This condition was due to recurrence of lymphoma in one case and to axillary node spread of breast cancer in the other. ⋯ All other electrodiagnostic tests were normal. Such a finding suggests the need for imaging of the lower brachial plexus region by computed tomography or magnetic resonance imaging.
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Randomized Controlled Trial Clinical Trial
An innovative hand brace for carpal tunnel syndrome: a randomized controlled trial.
We developed a hand brace and studied its efficacy and tolerability in patients with carpal tunnel syndrome (CTS). We randomized 83 subjects into a treated group, which wore the hand brace at night for 4 weeks, and a control group, which received no treatment. The primary efficacy measure was change in the Boston Carpal Tunnel Questionnaire (BCTQ) score. ⋯ SGICQ documented improvement in all treated subjects (P = 0.006). No significant difference was found in electrophysiological measurements, but overall neurophysiological classification shifted to less severe classes in the treated group (P < 0.05). Thus, the study demonstrates that this hand brace is highly efficient in relieving symptoms and functional loss in CTS.