Natural history of radiation-induced brachial plexopathy compared with surgically treated patients
Identifieur interne : 000409 ( Istex/Corpus ); précédent : 000408; suivant : 000410Natural history of radiation-induced brachial plexopathy compared with surgically treated patients
Auteurs : H. E. Killer ; K. HessSource :
- Journal of Neurology [ 0340-5354 ] ; 1990-07-01.
Abstract
Summary: Twelve patients who developed radiation-induced brachial plexopathy (RIBP) after receiving radiation therapy for breast carcinoma (7 patients) or Hodgkin's lymphoma (5 patients) were followed for 12 or more years, with a mean follow-up time of 20 years. Tingling and numbness of the fingers as well as weakness of the hand or arm were the most prominent presenting symptoms of RIBP. Whereas pain in most patients evolved only later in their course, it became a predominant feature in only 2. In 8 of the 12 patients, the plexopathy was surgically treated, either by neurolysis only or by neurolysis plus omental grafting in order to stop progression or paresis and/or pain. In 8 patients, including 6 of the operated group, there was slow and steady progression of RIBP over time, with the final outcome being almost complete paralysis of the arm (2 patients) or severe sensorimotor paresis rendering the hand useless (6 patients). In only 4 patients, including 2 of the non-operated group, was there absence of progression and stabilization of the paresis with only slight functional loss of the affected arm in 3 patients and severe palsy in 1. None of the 12 patients had any clear long-lasting improvement of their sensorimotor impairment. It is concluded from this study that RIBP, irrespective of surgery (neurolysis and/or omentum transplant), left two-thirds of the patients with severe or total paresis of the arm. However, the almost complete relief of severe pain (6 of 8 patients), both immediately and in follow-up patients treated with neurolysis and/or omental transplant, indicates that surgical treatment has a beneficial effect on pain relief.
Url:
DOI: 10.1007/BF00314628
Links to Exploration step
ISTEX:091D8381013620BF879AF0D2F32C8751B3E885B0Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Natural history of radiation-induced brachial plexopathy compared with surgically treated patients</title><author><name sortKey="Killer, H E" sort="Killer, H E" uniqKey="Killer H" first="H. E." last="Killer">H. E. Killer</name><affiliation><mods:affiliation>Department of Neurology, Kantonspital Aarau, CH-5001, Aarau, Switzerland</mods:affiliation></affiliation></author><author><name sortKey="Hess, K" sort="Hess, K" uniqKey="Hess K" first="K." last="Hess">K. Hess</name><affiliation><mods:affiliation>Department of Neurology, Kantonspital Aarau, CH-5001, Aarau, Switzerland</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:091D8381013620BF879AF0D2F32C8751B3E885B0</idno><date when="1990" year="1990">1990</date><idno type="doi">10.1007/BF00314628</idno><idno type="url">https://api.istex.fr/document/091D8381013620BF879AF0D2F32C8751B3E885B0/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000409</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000409</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Natural history of radiation-induced brachial plexopathy compared with surgically treated patients</title><author><name sortKey="Killer, H E" sort="Killer, H E" uniqKey="Killer H" first="H. E." last="Killer">H. E. Killer</name><affiliation><mods:affiliation>Department of Neurology, Kantonspital Aarau, CH-5001, Aarau, Switzerland</mods:affiliation></affiliation></author><author><name sortKey="Hess, K" sort="Hess, K" uniqKey="Hess K" first="K." last="Hess">K. Hess</name><affiliation><mods:affiliation>Department of Neurology, Kantonspital Aarau, CH-5001, Aarau, Switzerland</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Neurology</title><title level="j" type="abbrev">J Neurol</title><idno type="ISSN">0340-5354</idno><idno type="eISSN">1432-1459</idno><imprint><publisher>Springer-Verlag</publisher><pubPlace>Berlin/Heidelberg</pubPlace><date type="published" when="1990-07-01">1990-07-01</date><biblScope unit="volume">237</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="247">247</biblScope><biblScope unit="page" to="250">250</biblScope></imprint><idno type="ISSN">0340-5354</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0340-5354</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Summary: Twelve patients who developed radiation-induced brachial plexopathy (RIBP) after receiving radiation therapy for breast carcinoma (7 patients) or Hodgkin's lymphoma (5 patients) were followed for 12 or more years, with a mean follow-up time of 20 years. Tingling and numbness of the fingers as well as weakness of the hand or arm were the most prominent presenting symptoms of RIBP. Whereas pain in most patients evolved only later in their course, it became a predominant feature in only 2. In 8 of the 12 patients, the plexopathy was surgically treated, either by neurolysis only or by neurolysis plus omental grafting in order to stop progression or paresis and/or pain. In 8 patients, including 6 of the operated group, there was slow and steady progression of RIBP over time, with the final outcome being almost complete paralysis of the arm (2 patients) or severe sensorimotor paresis rendering the hand useless (6 patients). In only 4 patients, including 2 of the non-operated group, was there absence of progression and stabilization of the paresis with only slight functional loss of the affected arm in 3 patients and severe palsy in 1. None of the 12 patients had any clear long-lasting improvement of their sensorimotor impairment. It is concluded from this study that RIBP, irrespective of surgery (neurolysis and/or omentum transplant), left two-thirds of the patients with severe or total paresis of the arm. However, the almost complete relief of severe pain (6 of 8 patients), both immediately and in follow-up patients treated with neurolysis and/or omental transplant, indicates that surgical treatment has a beneficial effect on pain relief.</div></front></TEI><istex><corpusName>springer</corpusName><keywords><teeft><json:string>paresis</json:string><json:string>plexopathy</json:string><json:string>brachial</json:string><json:string>neurolysis</json:string><json:string>breast carcinoma</json:string><json:string>plexus</json:string><json:string>radiation therapy</json:string><json:string>total paresis</json:string><json:string>functionless hand</json:string><json:string>progression</json:string><json:string>carcinoma</json:string><json:string>beneficial effect</json:string><json:string>total time</json:string><json:string>tumour latency</json:string><json:string>brachial plexopathy</json:string><json:string>severe paresis</json:string><json:string>mild weakness</json:string><json:string>hand grade</json:string><json:string>moderate weakness</json:string><json:string>severe pain</json:string><json:string>surgical treatment</json:string><json:string>first symptoms oedema operation</json:string><json:string>present findings</json:string><json:string>severe sensorimotor paresis</json:string><json:string>natural history</json:string><json:string>first symptoms</json:string><json:string>irradiation plexopathy</json:string><json:string>long term</json:string><json:string>sensory loss</json:string></teeft></keywords><author><json:item><name>H. E. Killer</name><affiliations><json:string>Department of Neurology, Kantonspital Aarau, CH-5001, Aarau, Switzerland</json:string></affiliations></json:item><json:item><name>K. Hess</name><affiliations><json:string>Department of Neurology, Kantonspital Aarau, CH-5001, Aarau, Switzerland</json:string></affiliations></json:item></author><articleId><json:string>BF00314628</json:string><json:string>Art7</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>OriginalPaper</json:string></originalGenre><abstract>Summary: Twelve patients who developed radiation-induced brachial plexopathy (RIBP) after receiving radiation therapy for breast carcinoma (7 patients) or Hodgkin's lymphoma (5 patients) were followed for 12 or more years, with a mean follow-up time of 20 years. Tingling and numbness of the fingers as well as weakness of the hand or arm were the most prominent presenting symptoms of RIBP. Whereas pain in most patients evolved only later in their course, it became a predominant feature in only 2. In 8 of the 12 patients, the plexopathy was surgically treated, either by neurolysis only or by neurolysis plus omental grafting in order to stop progression or paresis and/or pain. In 8 patients, including 6 of the operated group, there was slow and steady progression of RIBP over time, with the final outcome being almost complete paralysis of the arm (2 patients) or severe sensorimotor paresis rendering the hand useless (6 patients). In only 4 patients, including 2 of the non-operated group, was there absence of progression and stabilization of the paresis with only slight functional loss of the affected arm in 3 patients and severe palsy in 1. None of the 12 patients had any clear long-lasting improvement of their sensorimotor impairment. It is concluded from this study that RIBP, irrespective of surgery (neurolysis and/or omentum transplant), left two-thirds of the patients with severe or total paresis of the arm. However, the almost complete relief of severe pain (6 of 8 patients), both immediately and in follow-up patients treated with neurolysis and/or omental transplant, indicates that surgical treatment has a beneficial effect on pain relief.</abstract><qualityIndicators><score>5.675</score><pdfWordCount>2675</pdfWordCount><pdfCharCount>12040</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>4</pdfPageCount><pdfPageSize>598 x 792 pts</pdfPageSize><refBibsNative>false</refBibsNative><abstractWordCount>266</abstractWordCount><abstractCharCount>1670</abstractCharCount><keywordCount>0</keywordCount></qualityIndicators><title>Natural history of radiation-induced brachial plexopathy compared with surgically treated patients</title><genre><json:string>research-article</json:string></genre><host><title>Journal of Neurology</title><language><json:string>unknown</json:string></language><publicationDate>1990</publicationDate><copyrightDate>1990</copyrightDate><issn><json:string>0340-5354</json:string></issn><eissn><json:string>1432-1459</json:string></eissn><journalId><json:string>415</json:string></journalId><volume>237</volume><issue>4</issue><pages><first>247</first><last>250</last></pages><genre><json:string>journal</json:string></genre><subject><json:item><value>Neurosciences</value></json:item><json:item><value>Neuroradiology</value></json:item><json:item><value>Neurology</value></json:item></subject></host><categories><wos><json:string>science</json:string><json:string>clinical neurology</json:string></wos><scienceMetrix><json:string>health sciences</json:string><json:string>clinical medicine</json:string><json:string>neurology & neurosurgery</json:string></scienceMetrix><inist><json:string>sciences appliquees, technologies et medecines</json:string><json:string>sciences biologiques et medicales</json:string><json:string>sciences medicales</json:string></inist></categories><publicationDate>1990</publicationDate><copyrightDate>1990</copyrightDate><doi><json:string>10.1007/BF00314628</json:string></doi><id>091D8381013620BF879AF0D2F32C8751B3E885B0</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/091D8381013620BF879AF0D2F32C8751B3E885B0/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/091D8381013620BF879AF0D2F32C8751B3E885B0/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/091D8381013620BF879AF0D2F32C8751B3E885B0/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Natural history of radiation-induced brachial plexopathy compared with surgically treated patients</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Springer-Verlag</publisher><pubPlace>Berlin/Heidelberg</pubPlace><availability><p>Springer-Verlag, 1990</p></availability><date>1990</date></publicationStmt><notesStmt><note>Original Investigations</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Natural history of radiation-induced brachial plexopathy compared with surgically treated patients</title><author xml:id="author-0000"><persName><forename type="first">H.</forename><surname>Killer</surname></persName><affiliation>Department of Neurology, Kantonspital Aarau, CH-5001, Aarau, Switzerland</affiliation></author><author xml:id="author-0001"><persName><forename type="first">K.</forename><surname>Hess</surname></persName><affiliation>Department of Neurology, Kantonspital Aarau, CH-5001, Aarau, Switzerland</affiliation></author><idno type="istex">091D8381013620BF879AF0D2F32C8751B3E885B0</idno><idno type="DOI">10.1007/BF00314628</idno><idno type="ArticleID">BF00314628</idno><idno type="ArticleID">Art7</idno></analytic><monogr><title level="j">Journal of Neurology</title><title level="j" type="abbrev">J Neurol</title><idno type="pISSN">0340-5354</idno><idno type="eISSN">1432-1459</idno><idno type="journal-ID">true</idno><idno type="issue-article-count">16</idno><idno type="volume-issue-count">8</idno><imprint><publisher>Springer-Verlag</publisher><pubPlace>Berlin/Heidelberg</pubPlace><date type="published" when="1990-07-01"></date><biblScope unit="volume">237</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="247">247</biblScope><biblScope unit="page" to="250">250</biblScope></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1990</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Summary: Twelve patients who developed radiation-induced brachial plexopathy (RIBP) after receiving radiation therapy for breast carcinoma (7 patients) or Hodgkin's lymphoma (5 patients) were followed for 12 or more years, with a mean follow-up time of 20 years. Tingling and numbness of the fingers as well as weakness of the hand or arm were the most prominent presenting symptoms of RIBP. Whereas pain in most patients evolved only later in their course, it became a predominant feature in only 2. In 8 of the 12 patients, the plexopathy was surgically treated, either by neurolysis only or by neurolysis plus omental grafting in order to stop progression or paresis and/or pain. In 8 patients, including 6 of the operated group, there was slow and steady progression of RIBP over time, with the final outcome being almost complete paralysis of the arm (2 patients) or severe sensorimotor paresis rendering the hand useless (6 patients). In only 4 patients, including 2 of the non-operated group, was there absence of progression and stabilization of the paresis with only slight functional loss of the affected arm in 3 patients and severe palsy in 1. None of the 12 patients had any clear long-lasting improvement of their sensorimotor impairment. It is concluded from this study that RIBP, irrespective of surgery (neurolysis and/or omentum transplant), left two-thirds of the patients with severe or total paresis of the arm. However, the almost complete relief of severe pain (6 of 8 patients), both immediately and in follow-up patients treated with neurolysis and/or omental transplant, indicates that surgical treatment has a beneficial effect on pain relief.</p></abstract><textClass><keywords scheme="Journal Subject"><list><head>Medicine & Public Health</head><item><term>Neurosciences</term></item><item><term>Neuroradiology</term></item><item><term>Neurology</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1990-07-01">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/091D8381013620BF879AF0D2F32C8751B3E885B0/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Springer, Publisher found" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="UTF-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//Springer-Verlag//DTD A++ V2.4//EN" URI="http://devel.springer.de/A++/V2.4/DTD/A++V2.4.dtd" name="istex:docType"></istex:docType><istex:document><Publisher><PublisherInfo><PublisherName>Springer-Verlag</PublisherName><PublisherLocation>Berlin/Heidelberg</PublisherLocation></PublisherInfo><Journal><JournalInfo JournalProductType="ArchiveJournal" NumberingStyle="Unnumbered"><JournalID>415</JournalID><JournalPrintISSN>0340-5354</JournalPrintISSN><JournalElectronicISSN>1432-1459</JournalElectronicISSN><JournalTitle>Journal of Neurology</JournalTitle><JournalAbbreviatedTitle>J Neurol</JournalAbbreviatedTitle><JournalSubjectGroup><JournalSubject Type="Primary">Medicine & Public Health</JournalSubject><JournalSubject Type="Secondary">Neurosciences</JournalSubject><JournalSubject Type="Secondary">Neuroradiology</JournalSubject><JournalSubject Type="Secondary">Neurology</JournalSubject></JournalSubjectGroup></JournalInfo><Volume><VolumeInfo VolumeType="Regular" TocLevels="0"><VolumeIDStart>237</VolumeIDStart><VolumeIDEnd>237</VolumeIDEnd><VolumeIssueCount>8</VolumeIssueCount></VolumeInfo><Issue IssueType="Regular"><IssueInfo TocLevels="0"><IssueIDStart>4</IssueIDStart><IssueIDEnd>4</IssueIDEnd><IssueArticleCount>16</IssueArticleCount><IssueHistory><CoverDate><Year>1990</Year><Month>7</Month></CoverDate></IssueHistory><IssueCopyright><CopyrightHolderName>Springer-Verlag</CopyrightHolderName><CopyrightYear>1990</CopyrightYear></IssueCopyright></IssueInfo><Article ID="Art7"><ArticleInfo Language="En" ArticleType="OriginalPaper" NumberingStyle="Unnumbered" TocLevels="0" ContainsESM="No"><ArticleID>BF00314628</ArticleID><ArticleDOI>10.1007/BF00314628</ArticleDOI><ArticleSequenceNumber>7</ArticleSequenceNumber><ArticleTitle Language="En">Natural history of radiation-induced brachial plexopathy compared with surgically treated patients</ArticleTitle><ArticleCategory>Original Investigations</ArticleCategory><ArticleFirstPage>247</ArticleFirstPage><ArticleLastPage>250</ArticleLastPage><ArticleHistory><RegistrationDate><Year>2004</Year><Month>8</Month><Day>25</Day></RegistrationDate></ArticleHistory><ArticleCopyright><CopyrightHolderName>Springer-Verlag</CopyrightHolderName><CopyrightYear>1990</CopyrightYear></ArticleCopyright><ArticleGrants Type="Regular"><MetadataGrant Grant="OpenAccess"></MetadataGrant><AbstractGrant Grant="OpenAccess"></AbstractGrant><BodyPDFGrant Grant="Restricted"></BodyPDFGrant><BodyHTMLGrant Grant="Restricted"></BodyHTMLGrant><BibliographyGrant Grant="Restricted"></BibliographyGrant><ESMGrant Grant="Restricted"></ESMGrant></ArticleGrants><ArticleContext><JournalID>415</JournalID><VolumeIDStart>237</VolumeIDStart><VolumeIDEnd>237</VolumeIDEnd><IssueIDStart>4</IssueIDStart><IssueIDEnd>4</IssueIDEnd></ArticleContext></ArticleInfo><ArticleHeader><AuthorGroup><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>H.</GivenName><GivenName>E.</GivenName><FamilyName>Killer</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>K.</GivenName><FamilyName>Hess</FamilyName></AuthorName></Author><Affiliation ID="Aff1"><OrgDivision>Department of Neurology</OrgDivision><OrgName>Kantonspital Aarau</OrgName><OrgAddress><Postcode>CH-5001</Postcode><City>Aarau</City><Country>Switzerland</Country></OrgAddress></Affiliation></AuthorGroup><Abstract ID="Abs1" Language="En"><Heading>Summary</Heading><Para>Twelve patients who developed radiation-induced brachial plexopathy (RIBP) after receiving radiation therapy for breast carcinoma (7 patients) or Hodgkin's lymphoma (5 patients) were followed for 12 or more years, with a mean follow-up time of 20 years. Tingling and numbness of the fingers as well as weakness of the hand or arm were the most prominent presenting symptoms of RIBP. Whereas pain in most patients evolved only later in their course, it became a predominant feature in only 2. In 8 of the 12 patients, the plexopathy was surgically treated, either by neurolysis only or by neurolysis plus omental grafting in order to stop progression or paresis and/or pain. In 8 patients, including 6 of the operated group, there was slow and steady progression of RIBP over time, with the final outcome being almost complete paralysis of the arm (2 patients) or severe sensorimotor paresis rendering the hand useless (6 patients). In only 4 patients, including 2 of the non-operated group, was there absence of progression and stabilization of the paresis with only slight functional loss of the affected arm in 3 patients and severe palsy in 1. None of the 12 patients had any clear long-lasting improvement of their sensorimotor impairment. It is concluded from this study that RIBP, irrespective of surgery (neurolysis and/or omentum transplant), left two-thirds of the patients with severe or total paresis of the arm. However, the almost complete relief of severe pain (6 of 8 patients), both immediately and in follow-up patients treated with neurolysis and/or omental transplant, indicates that surgical treatment has a beneficial effect on pain relief.</Para></Abstract><KeywordGroup Language="En"><Heading>Key words</Heading><Keyword>Irradiation</Keyword><Keyword>Plexopathy</Keyword><Keyword>Brachial Plexus</Keyword><Keyword>Sensorimotor paresis</Keyword><Keyword>Neurolysis</Keyword><Keyword>Long term follow-up</Keyword></KeywordGroup></ArticleHeader><NoBody></NoBody></Article></Issue></Volume></Journal></Publisher></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Natural history of radiation-induced brachial plexopathy compared with surgically treated patients</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Natural history of radiation-induced brachial plexopathy compared with surgically treated patients</title></titleInfo><name type="personal"><namePart type="given">H.</namePart><namePart type="given">E.</namePart><namePart type="family">Killer</namePart><affiliation>Department of Neurology, Kantonspital Aarau, CH-5001, Aarau, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">K.</namePart><namePart type="family">Hess</namePart><affiliation>Department of Neurology, Kantonspital Aarau, CH-5001, Aarau, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="OriginalPaper"></genre><originInfo><publisher>Springer-Verlag</publisher><place><placeTerm type="text">Berlin/Heidelberg</placeTerm></place><dateIssued encoding="w3cdtf">1990-07-01</dateIssued><copyrightDate encoding="w3cdtf">1990</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">Summary: Twelve patients who developed radiation-induced brachial plexopathy (RIBP) after receiving radiation therapy for breast carcinoma (7 patients) or Hodgkin's lymphoma (5 patients) were followed for 12 or more years, with a mean follow-up time of 20 years. Tingling and numbness of the fingers as well as weakness of the hand or arm were the most prominent presenting symptoms of RIBP. Whereas pain in most patients evolved only later in their course, it became a predominant feature in only 2. In 8 of the 12 patients, the plexopathy was surgically treated, either by neurolysis only or by neurolysis plus omental grafting in order to stop progression or paresis and/or pain. In 8 patients, including 6 of the operated group, there was slow and steady progression of RIBP over time, with the final outcome being almost complete paralysis of the arm (2 patients) or severe sensorimotor paresis rendering the hand useless (6 patients). In only 4 patients, including 2 of the non-operated group, was there absence of progression and stabilization of the paresis with only slight functional loss of the affected arm in 3 patients and severe palsy in 1. None of the 12 patients had any clear long-lasting improvement of their sensorimotor impairment. It is concluded from this study that RIBP, irrespective of surgery (neurolysis and/or omentum transplant), left two-thirds of the patients with severe or total paresis of the arm. However, the almost complete relief of severe pain (6 of 8 patients), both immediately and in follow-up patients treated with neurolysis and/or omental transplant, indicates that surgical treatment has a beneficial effect on pain relief.</abstract><note>Original Investigations</note><relatedItem type="host"><titleInfo><title>Journal of Neurology</title></titleInfo><titleInfo type="abbreviated"><title>J Neurol</title></titleInfo><genre type="journal" displayLabel="Archive Journal"></genre><originInfo><dateIssued encoding="w3cdtf">1990-07-01</dateIssued><copyrightDate encoding="w3cdtf">1990</copyrightDate></originInfo><subject><genre>Medicine & Public Health</genre><topic>Neurosciences</topic><topic>Neuroradiology</topic><topic>Neurology</topic></subject><identifier type="ISSN">0340-5354</identifier><identifier type="eISSN">1432-1459</identifier><identifier type="JournalID">415</identifier><identifier type="IssueArticleCount">16</identifier><identifier type="VolumeIssueCount">8</identifier><part><date>1990</date><detail type="volume"><number>237</number><caption>vol.</caption></detail><detail type="issue"><number>4</number><caption>no.</caption></detail><extent unit="pages"><start>247</start><end>250</end></extent></part><recordInfo><recordOrigin>Springer-Verlag, 1990</recordOrigin></recordInfo></relatedItem><identifier type="istex">091D8381013620BF879AF0D2F32C8751B3E885B0</identifier><identifier type="DOI">10.1007/BF00314628</identifier><identifier type="ArticleID">BF00314628</identifier><identifier type="ArticleID">Art7</identifier><accessCondition type="use and reproduction" contentType="copyright">Springer-Verlag, 1990</accessCondition><recordInfo><recordContentSource>SPRINGER</recordContentSource><recordOrigin>Springer-Verlag, 1990</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Istex/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000409 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Istex/Corpus/biblio.hfd -nk 000409 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= Istex
|étape= Corpus
|type= RBID
|clé= ISTEX:091D8381013620BF879AF0D2F32C8751B3E885B0
|texte= Natural history of radiation-induced brachial plexopathy compared with surgically treated patients
}}
| This area was generated with Dilib version V0.6.31. |  |