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Department of Neurology, University of Virginia Medical Center, Charlottesville. VA.
Long thoracic nerve palsy causes weakness of the serratus anterior muscle and winging of the scapula. It is usually traumatic in origin. Isolated long thoracic nerve palsy has not been recognized as the major manifestation of familial brachial plexus neuropathy, but I have studied the syndrome in four members of three generations of one family. One individual suffered an episode of facial paresis. The inheritance pattern was autosomal dominant.
Address correspondence and reprint requests to Dr. Phillips, Box 394, Department of Neurology, University of Virginia Medical Center, Charlottesville, VA 22908.
Presented in part at the thirty-seventh annual meeting of the American Academy of Neurology, Dallas, TX, April 1985.
Accepted for publication January 4, 1986.
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