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NEUROLOGY 1989;39:502
© 1989 American Academy of Neurology

Distinction between neo plastic and radiation-induced brachial plexopathy, with emphasis on the role of EMG

C. Michel Harper, Jr., MD, Juergen E. Thomas, MD, Terrence L. Cascino, MD and William J. Litchy, MD

Department of Neurology, Mayo Clinic and Mayo Foundation, Rochester, MN. Dr. Thomas is an emeritus member of the Department of Neurology, Mayo Clinic and Mayo Foundation.

results of clinical, radiologic, and electro physiologic studies are retrospectively reviewed for 55 patients with neo plastic and 35 patients with radiation-induced brachial plexopathy. The presence or absence of pain as the presenting symptom, temporal profile of the illness, presence of a discrete mass on CT of the plexus, and presence of myokymic discharges on EMG contributed significantly to the prediction of the underlying caw of the brachial plexopathy. The distribution of weakness and the results of nerve conduction studies were of no help in distinguishing neo plastic from radiation-induced brachial plexopathy.

Address correspondence and reprint requests to Dr. Harper, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.

Received Auguat 3, 1988. Accepted for publication in final form October 31,1988.




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[Abstract] [PDF]


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