Clinical and neurophysiological features of the hereditary neuropathy with liability to pressure palsy due to the 17p11.2 deletion

ABSTRACT The hereditary neuropathy with liability to pressure palsies (HNPP) is an autossomal dominant disorder manifesting recurrent mononeuropathies. Objective Evaluate its clinical and nerve conduction studies (NCS) characteristics, searching for diagnostic particularities. Method We reviewed the neurological manifestations of 39 and the NCS of 33 patients. Results Family history was absent in 16/39 (41%). The onset complaints were weakness in 24, pain in 6, sensory deficit in 5 and paresthesias in 4. Pain was seen in 3 other patients. The following neuropathy patterns were found: multiple mononeuropathy (26), mononeuropathy (7), chronic sensorimotor polyneuropathy (4), chronic sensory polyneuropathy (1) and unilateral brachial plexopathy (1). NCS showed a sensorimotor neuropathy with focal conduction slowing in 31, two had mononeuropathy and another brachial plexopathy. Conclusion HNPP presentation is variable and may include pain. The most frequent pattern is of an asymmetrical sensory and motor neuropathy with focal slowing at specific topographies on NCS.

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Main Authors: Oliveira,Aline Pinheiro Martins de, Pereira,Raquel Campos, Onofre,Patrícia Toscano, Marques,Vanessa Daccach, Andrade,Gilberto Brown de, Barreira,Amilton Antunes, Marques Junior,Wilson
Format: Digital revista
Language:English
Published: Academia Brasileira de Neurologia - ABNEURO 2016
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000200004
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spelling oai:scielo:S0004-282X20160002000042016-03-11Clinical and neurophysiological features of the hereditary neuropathy with liability to pressure palsy due to the 17p11.2 deletionOliveira,Aline Pinheiro Martins dePereira,Raquel CamposOnofre,Patrícia ToscanoMarques,Vanessa DaccachAndrade,Gilberto Brown deBarreira,Amilton AntunesMarques Junior,Wilson hereditary neuropathy with liability to pressure palsies peripheral neuropathy nerve conduction study pain ABSTRACT The hereditary neuropathy with liability to pressure palsies (HNPP) is an autossomal dominant disorder manifesting recurrent mononeuropathies. Objective Evaluate its clinical and nerve conduction studies (NCS) characteristics, searching for diagnostic particularities. Method We reviewed the neurological manifestations of 39 and the NCS of 33 patients. Results Family history was absent in 16/39 (41%). The onset complaints were weakness in 24, pain in 6, sensory deficit in 5 and paresthesias in 4. Pain was seen in 3 other patients. The following neuropathy patterns were found: multiple mononeuropathy (26), mononeuropathy (7), chronic sensorimotor polyneuropathy (4), chronic sensory polyneuropathy (1) and unilateral brachial plexopathy (1). NCS showed a sensorimotor neuropathy with focal conduction slowing in 31, two had mononeuropathy and another brachial plexopathy. Conclusion HNPP presentation is variable and may include pain. The most frequent pattern is of an asymmetrical sensory and motor neuropathy with focal slowing at specific topographies on NCS.info:eu-repo/semantics/openAccessAcademia Brasileira de Neurologia - ABNEUROArquivos de Neuro-Psiquiatria v.74 n.2 20162016-02-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000200004en10.1590/0004-282X20160010
institution SCIELO
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country Brasil
countrycode BR
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databasecode rev-scielo-br
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region America del Sur
libraryname SciELO
language English
format Digital
author Oliveira,Aline Pinheiro Martins de
Pereira,Raquel Campos
Onofre,Patrícia Toscano
Marques,Vanessa Daccach
Andrade,Gilberto Brown de
Barreira,Amilton Antunes
Marques Junior,Wilson
spellingShingle Oliveira,Aline Pinheiro Martins de
Pereira,Raquel Campos
Onofre,Patrícia Toscano
Marques,Vanessa Daccach
Andrade,Gilberto Brown de
Barreira,Amilton Antunes
Marques Junior,Wilson
Clinical and neurophysiological features of the hereditary neuropathy with liability to pressure palsy due to the 17p11.2 deletion
author_facet Oliveira,Aline Pinheiro Martins de
Pereira,Raquel Campos
Onofre,Patrícia Toscano
Marques,Vanessa Daccach
Andrade,Gilberto Brown de
Barreira,Amilton Antunes
Marques Junior,Wilson
author_sort Oliveira,Aline Pinheiro Martins de
title Clinical and neurophysiological features of the hereditary neuropathy with liability to pressure palsy due to the 17p11.2 deletion
title_short Clinical and neurophysiological features of the hereditary neuropathy with liability to pressure palsy due to the 17p11.2 deletion
title_full Clinical and neurophysiological features of the hereditary neuropathy with liability to pressure palsy due to the 17p11.2 deletion
title_fullStr Clinical and neurophysiological features of the hereditary neuropathy with liability to pressure palsy due to the 17p11.2 deletion
title_full_unstemmed Clinical and neurophysiological features of the hereditary neuropathy with liability to pressure palsy due to the 17p11.2 deletion
title_sort clinical and neurophysiological features of the hereditary neuropathy with liability to pressure palsy due to the 17p11.2 deletion
description ABSTRACT The hereditary neuropathy with liability to pressure palsies (HNPP) is an autossomal dominant disorder manifesting recurrent mononeuropathies. Objective Evaluate its clinical and nerve conduction studies (NCS) characteristics, searching for diagnostic particularities. Method We reviewed the neurological manifestations of 39 and the NCS of 33 patients. Results Family history was absent in 16/39 (41%). The onset complaints were weakness in 24, pain in 6, sensory deficit in 5 and paresthesias in 4. Pain was seen in 3 other patients. The following neuropathy patterns were found: multiple mononeuropathy (26), mononeuropathy (7), chronic sensorimotor polyneuropathy (4), chronic sensory polyneuropathy (1) and unilateral brachial plexopathy (1). NCS showed a sensorimotor neuropathy with focal conduction slowing in 31, two had mononeuropathy and another brachial plexopathy. Conclusion HNPP presentation is variable and may include pain. The most frequent pattern is of an asymmetrical sensory and motor neuropathy with focal slowing at specific topographies on NCS.
publisher Academia Brasileira de Neurologia - ABNEURO
publishDate 2016
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000200004
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