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NEUROLOGY 2005;65:305-307
© 2005 American Academy of Neurology
Brief Communications

Ultrasonography shows extensive nerve enlargements in multifocal motor neuropathy

R. Beekman, MD, PhD, L. H. van den Berg, MD, PhD, H. Franssen, MD, PhD, L. H. Visser, MD, PhD, J.T.H. van Asseldonk, MD and J. H.J. Wokke, MD, PhD

Department of Neurology (Drs. Beekman, van den Berg, van Asseldonk, and Wokke) and Clinical Neurophysiology (Drs. Franssen and van Asseldonk), Rudolf Magnus Institute of Neuroscience, University Medical Centre, Utrecht, The Netherlands; Department of Neurology (Dr. Beekman), Atrium Medical Centre, Heerlen, The Netherlands; Department of Neurology (Dr. Visser), St. Elisabeth Hospital, Tilburg, The Netherlands.

Address correspondence and reprint requests to Dr. Roy Beekman, Department of Neurology, Atrium Medical Centre, P.O. Box 4446, 6401 CX Heerlen, The Netherlands; e-mail: r_beekman01{at}planet.nl

Using ultrasonography we found multiple sites with nerve enlargement along the course of the brachial plexus, median, ulnar, and radial nerves in the majority of 21 patients with multifocal motor neuropathy. Sonography and electrophysiologic studies showed more abnormalities than expected on purely clinical grounds. Moreover, sonography revealed nerve enlargement without clinical or electrophysiologic abnormalities.

Received September 21, 2004. Accepted in final form April 7, 2005.




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