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Anterior Interosseous Neuropathy in the Postpartum Period

Published online by Cambridge University Press:  18 September 2015

Lionel Carmant  and
Martin Veilleux
Lionel Carmant*
Affiliation:
Department of Neurology and Neurosurgery (L.C.) and the Division of Neurology, The Montreal General Hospital (M.V.), McGill University, Montreal
Martin Veilleux
Affiliation:
Department of Neurology and Neurosurgery (L.C.) and the Division of Neurology, The Montreal General Hospital (M.V.), McGill University, Montreal
*
Montreal General Hospital, Division of Neurology, 1650 Cedar Avenue, Montreal, Quebec, Canada H3G 1A4
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Abstract:

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The anterior interosseous neuropathy is a rare focal neuropathy with typical clinical and electromyographic features. Most commonly reported etiologies include lesion of the median nerve following fracture of the radius and ulna, acute or repeated trauma or prolonged pressure on the forearm. In some cases, no predisposing factors can be elicited. Over a one-year period, two young women in their late twenties were evaluated for weakness of the flexor pollicis longus, flexor digitorum profundus of the 2nd and 3rd fingers, and pronator quadratus muscles that occurred within a month following parturition. Nerve conduction studies and concentric needle electrode examination of the upper extremities performed respectively 3 and 10 months after the onset of symptoms confirmed a severe anterior interosseous neuropathy and excluded more common conditions such as carpal tunnel syndrome, cervical radiculopathy or brachial plexopathy. The prognosis was unfavorable in both cases.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 20 , Issue 1 , February 1993 , pp. 56 - 58
Copyright
Copyright © Canadian Neurological Sciences Federation 1993

References

1.Dunne, JW, Prentice, DA, Stewart-Wynne, EG.Bilateral anterior interosseous nerve syndromes associated with cytomegalovirus infection. Muscle Nerve 1987; 10: 446–448.CrossRefGoogle ScholarPubMed
2.Gardner-Thorpe, C.Anterior interosseous nerve palsy: spontaneous recovery in two patients. J Neurol 1976; 213: 347–352.Google Scholar
3.Kiloh, L, Nevin, S.Isolated neuritis of the anterior interosseous nerve. Br Med J 1952; 1: 850–851.CrossRefGoogle ScholarPubMed
4.Lake, PA.Anterior interosseous nerve syndrome. J Neurosurg 1974; 41: 306–309.CrossRefGoogle ScholarPubMed
5.Miller-Breslow, A, Terrono, A, Millender, LH.Nonoperative treatment of anterior interosseous nerve paralysis. J Hand Surg 1990; 15A: 493–496.CrossRefGoogle Scholar
6.Nakano, KK, Lundergan, C, Okihiro, MM.Anterior interosseous nerve syndromes: diagnostic methods and alternative treatments. Arch Neurol 1977; 34: 477–480.CrossRefGoogle ScholarPubMed
7.Neundorfer, B, Kroger, M.The anterior interosseous nerve syndrome. J Neurol 1976; 213: 347–352.CrossRefGoogle ScholarPubMed
8.O'Brien, MD, Upton, ARM. Anterior interosseous nerve syndrome: a case report with neurophysiological investigation. J Neurol Neurosurg Psychiatry 1972; 35: 531–536.CrossRefGoogle ScholarPubMed
9.Parsonage, MJ, Turner, JWA. Neuralgic amyotrophy: the shouldergirdle syndrome. Lancet 1948; i: 973–978.CrossRefGoogle Scholar
10.Seror, P.Le syndrome du nerf interosseux antérieur. Charactéristiques electromyographiques (2 cas) et revue de la littérature (62 cas). Rev EEG Neurophysiol Clin 1986; 16: 153–163.Google Scholar
11.Smith, BH, Herbst, BA. Anterior interosseous nerve palsy. Arch Neurol 1974; 30: 330–331.CrossRefGoogle ScholarPubMed
12.Spinner, M.The anterior interosseous nerve syndrome. J Bone Joint Surg 1970; 52A: 84–94.CrossRefGoogle Scholar
13.Sunderland, S.The median nerve. Anatomical and physiological features. In: Eds, Nerves and Nerve, Injuries (2nd ed). Edinburgh: Churchill Livingstone, 1978: 656–690.Google Scholar
14.Wertsch, JJ, Sanger, JR, Matloub, HS.Pseudo-anterior interosseous nerve syndrome. Muscle Nerve 1985; 8: 68–70.CrossRefGoogle ScholarPubMed