[Brachial irradiation plexopathy].
Identifieur interne : 005F76 ( PubMed/Corpus ); précédent : 005F75; suivant : 005F77[Brachial irradiation plexopathy].
Auteurs : N K Olsen ; L. WermuthSource :
- Ugeskrift for laeger [ 0041-5782 ] ; 1989.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Peripheral Nervous System Diseases.
- etiology : Peripheral Nervous System Diseases.
- radiation effects : Brachial Plexus.
- radiotherapy : Breast Neoplasms.
- Diagnosis, Differential, Female, Humans.
Abstract
Irradiation neuropathy is a term for the damage to peripheral nerve tissue due to irradiation. Brachial irradiation plexopathy is irradiation neuropathy affecting the brachial plexus. This is most frequently a complication of irradiation therapy for cancer of the breast. The incidence varies considerably and is lowest with low total doses of irradiation and limited fractions. The latent period varies from months to several years. The neurological manifestations are paraesthesiae in the fingers, pain, hypaesthesia, hypalgesia, disaesthesia, paresis, hyporeflexia, muscular atrophy and possibly vegetative disturbances. Horner's syndrome may occur. Lymphoedema is observed in approximately on third of the patients. The course of brachial irradiation plexopathy is progressive. No specific treatment is available. The diagnosis is based on the case history, clinical picture, electrodiagnosis and CT of the brachial plexus region. The most important differential diagnosis is metastatic infiltration in the brachial plexus. These two conditions are differentiated best by means of CT guided surgical exploration and histological examination of the tissue. The irreversible nature of brachial irradiation plexopathy and its marked resistance to treatment are such that the optimal irradiation hygienic rules must be observed.
PubMed: 2551086
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pubmed:2551086Le document en format XML
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<author><name sortKey="Olsen, N K" sort="Olsen, N K" uniqKey="Olsen N" first="N K" last="Olsen">N K Olsen</name>
</author>
<author><name sortKey="Wermuth, L" sort="Wermuth, L" uniqKey="Wermuth L" first="L" last="Wermuth">L. Wermuth</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">[Brachial irradiation plexopathy].</title>
<author><name sortKey="Olsen, N K" sort="Olsen, N K" uniqKey="Olsen N" first="N K" last="Olsen">N K Olsen</name>
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<author><name sortKey="Wermuth, L" sort="Wermuth, L" uniqKey="Wermuth L" first="L" last="Wermuth">L. Wermuth</name>
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<series><title level="j">Ugeskrift for laeger</title>
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<imprint><date when="1989" type="published">1989</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Brachial Plexus (radiation effects)</term>
<term>Breast Neoplasms (radiotherapy)</term>
<term>Diagnosis, Differential</term>
<term>Female</term>
<term>Humans</term>
<term>Peripheral Nervous System Diseases (diagnosis)</term>
<term>Peripheral Nervous System Diseases (etiology)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Peripheral Nervous System Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Peripheral Nervous System Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="radiation effects" xml:lang="en"><term>Brachial Plexus</term>
</keywords>
<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Diagnosis, Differential</term>
<term>Female</term>
<term>Humans</term>
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<front><div type="abstract" xml:lang="en">Irradiation neuropathy is a term for the damage to peripheral nerve tissue due to irradiation. Brachial irradiation plexopathy is irradiation neuropathy affecting the brachial plexus. This is most frequently a complication of irradiation therapy for cancer of the breast. The incidence varies considerably and is lowest with low total doses of irradiation and limited fractions. The latent period varies from months to several years. The neurological manifestations are paraesthesiae in the fingers, pain, hypaesthesia, hypalgesia, disaesthesia, paresis, hyporeflexia, muscular atrophy and possibly vegetative disturbances. Horner's syndrome may occur. Lymphoedema is observed in approximately on third of the patients. The course of brachial irradiation plexopathy is progressive. No specific treatment is available. The diagnosis is based on the case history, clinical picture, electrodiagnosis and CT of the brachial plexus region. The most important differential diagnosis is metastatic infiltration in the brachial plexus. These two conditions are differentiated best by means of CT guided surgical exploration and histological examination of the tissue. The irreversible nature of brachial irradiation plexopathy and its marked resistance to treatment are such that the optimal irradiation hygienic rules must be observed.</div>
</front>
</TEI>
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<DateCreated><Year>1989</Year>
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<Day>18</Day>
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<DateCompleted><Year>1989</Year>
<Month>10</Month>
<Day>18</Day>
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<DateRevised><Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
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<Article PubModel="Print"><Journal><ISSN IssnType="Print">0041-5782</ISSN>
<JournalIssue CitedMedium="Print"><Volume>151</Volume>
<Issue>25</Issue>
<PubDate><Year>1989</Year>
<Month>Jun</Month>
<Day>19</Day>
</PubDate>
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<Title>Ugeskrift for laeger</Title>
<ISOAbbreviation>Ugeskr. Laeg.</ISOAbbreviation>
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<ArticleTitle>[Brachial irradiation plexopathy].</ArticleTitle>
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<Abstract><AbstractText>Irradiation neuropathy is a term for the damage to peripheral nerve tissue due to irradiation. Brachial irradiation plexopathy is irradiation neuropathy affecting the brachial plexus. This is most frequently a complication of irradiation therapy for cancer of the breast. The incidence varies considerably and is lowest with low total doses of irradiation and limited fractions. The latent period varies from months to several years. The neurological manifestations are paraesthesiae in the fingers, pain, hypaesthesia, hypalgesia, disaesthesia, paresis, hyporeflexia, muscular atrophy and possibly vegetative disturbances. Horner's syndrome may occur. Lymphoedema is observed in approximately on third of the patients. The course of brachial irradiation plexopathy is progressive. No specific treatment is available. The diagnosis is based on the case history, clinical picture, electrodiagnosis and CT of the brachial plexus region. The most important differential diagnosis is metastatic infiltration in the brachial plexus. These two conditions are differentiated best by means of CT guided surgical exploration and histological examination of the tissue. The irreversible nature of brachial irradiation plexopathy and its marked resistance to treatment are such that the optimal irradiation hygienic rules must be observed.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Olsen</LastName>
<ForeName>N K</ForeName>
<Initials>NK</Initials>
</Author>
<Author ValidYN="Y"><LastName>Wermuth</LastName>
<ForeName>L</ForeName>
<Initials>L</Initials>
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<Language>dan</Language>
<PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
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<VernacularTitle>Brakial strålepleksopati.</VernacularTitle>
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<MedlineJournalInfo><Country>Denmark</Country>
<MedlineTA>Ugeskr Laeger</MedlineTA>
<NlmUniqueID>0141730</NlmUniqueID>
<ISSNLinking>0041-5782</ISSNLinking>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D001917" MajorTopicYN="N">Brachial Plexus</DescriptorName>
<QualifierName UI="Q000528" MajorTopicYN="Y">radiation effects</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName>
<QualifierName UI="Q000532" MajorTopicYN="N">radiotherapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003937" MajorTopicYN="N">Diagnosis, Differential</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010523" MajorTopicYN="N">Peripheral Nervous System Diseases</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName>
</MeshHeading>
</MeshHeadingList>
<NumberOfReferences>26</NumberOfReferences>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1989</Year>
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