Brachial plexus injuries after radiotherapy - analysis of 6 cases
Radiation-induced brachial plexus neuropathy is caused by compression of the nerve fibres by dense and inelastic fibrous connective tissue. In this study our own experience in treatment of lesions of the brachial plexus after radiotherapy is presented. The clinical material consisted of 6 patients a...
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| Veröffentlicht in: | Folia neuropathologica 2007, Vol.45 (1), p.31-35 |
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| creator | Gosk, Jerzy Rutowski, Roman Urban, Maciej Wiecek, Roman Rabczyński, Jerzy |
| description | Radiation-induced brachial plexus neuropathy is caused by compression of the nerve fibres by dense and inelastic fibrous connective tissue. In this study our own experience in treatment of lesions of the brachial plexus after radiotherapy is presented. The clinical material consisted of 6 patients aged from 40 to 64 years with injuries of the brachial plexus after radiotherapy. The analysis of the material comprised: basic disease, duration of radiotherapy, radiated fields, total dose of radiation, onset and character of symptoms, location and severity of injury. 5 women were qualified for surgical treatment. After neurolysis of the brachial plexus a significant improvement was obtained in 2 cases. In one patient remission of pain and sensory recovery was temporary. No improvement was observed in the remaining 2 patients. Lesions of the brachial plexus after radiotherapy are rare but difficult to prevent. The treatment depends on the grade of severity of injury. Surgical neurolysis is advised for grades 3 and 4 on the LENT-SOMA scale. |
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In this study our own experience in treatment of lesions of the brachial plexus after radiotherapy is presented. The clinical material consisted of 6 patients aged from 40 to 64 years with injuries of the brachial plexus after radiotherapy. The analysis of the material comprised: basic disease, duration of radiotherapy, radiated fields, total dose of radiation, onset and character of symptoms, location and severity of injury. 5 women were qualified for surgical treatment. After neurolysis of the brachial plexus a significant improvement was obtained in 2 cases. In one patient remission of pain and sensory recovery was temporary. No improvement was observed in the remaining 2 patients. Lesions of the brachial plexus after radiotherapy are rare but difficult to prevent. The treatment depends on the grade of severity of injury. Surgical neurolysis is advised for grades 3 and 4 on the LENT-SOMA scale.</description><identifier>ISSN: 1641-4640</identifier><identifier>PMID: 17357009</identifier><language>eng</language><publisher>Poland</publisher><subject>Adult ; Brachial Plexus - radiation effects ; Brachial Plexus Neuropathies - etiology ; Brachial Plexus Neuropathies - pathology ; Brachial Plexus Neuropathies - surgery ; Breast Neoplasms - radiotherapy ; Female ; Humans ; Middle Aged ; Movement Disorders - etiology ; Movement Disorders - surgery ; Neurosurgical Procedures ; Pain - etiology ; Pain - surgery ; Parotid Neoplasms - radiotherapy ; Radiation Injuries - etiology ; Radiation Injuries - pathology ; Radiation Injuries - surgery ; Radiotherapy - adverse effects ; Sensation Disorders - etiology ; Sensation Disorders - surgery ; Treatment Outcome</subject><ispartof>Folia neuropathologica, 2007, Vol.45 (1), p.31-35</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17357009$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gosk, Jerzy</creatorcontrib><creatorcontrib>Rutowski, Roman</creatorcontrib><creatorcontrib>Urban, Maciej</creatorcontrib><creatorcontrib>Wiecek, Roman</creatorcontrib><creatorcontrib>Rabczyński, Jerzy</creatorcontrib><title>Brachial plexus injuries after radiotherapy - analysis of 6 cases</title><title>Folia neuropathologica</title><addtitle>Folia Neuropathol</addtitle><description>Radiation-induced brachial plexus neuropathy is caused by compression of the nerve fibres by dense and inelastic fibrous connective tissue. In this study our own experience in treatment of lesions of the brachial plexus after radiotherapy is presented. The clinical material consisted of 6 patients aged from 40 to 64 years with injuries of the brachial plexus after radiotherapy. The analysis of the material comprised: basic disease, duration of radiotherapy, radiated fields, total dose of radiation, onset and character of symptoms, location and severity of injury. 5 women were qualified for surgical treatment. After neurolysis of the brachial plexus a significant improvement was obtained in 2 cases. In one patient remission of pain and sensory recovery was temporary. No improvement was observed in the remaining 2 patients. Lesions of the brachial plexus after radiotherapy are rare but difficult to prevent. The treatment depends on the grade of severity of injury. Surgical neurolysis is advised for grades 3 and 4 on the LENT-SOMA scale.</description><subject>Adult</subject><subject>Brachial Plexus - radiation effects</subject><subject>Brachial Plexus Neuropathies - etiology</subject><subject>Brachial Plexus Neuropathies - pathology</subject><subject>Brachial Plexus Neuropathies - surgery</subject><subject>Breast Neoplasms - radiotherapy</subject><subject>Female</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Movement Disorders - etiology</subject><subject>Movement Disorders - surgery</subject><subject>Neurosurgical Procedures</subject><subject>Pain - etiology</subject><subject>Pain - surgery</subject><subject>Parotid Neoplasms - radiotherapy</subject><subject>Radiation Injuries - etiology</subject><subject>Radiation Injuries - pathology</subject><subject>Radiation Injuries - surgery</subject><subject>Radiotherapy - adverse effects</subject><subject>Sensation Disorders - etiology</subject><subject>Sensation Disorders - surgery</subject><subject>Treatment Outcome</subject><issn>1641-4640</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1jztPwzAURj2AaCn8BeSJLZIdv8dS8ZIqscAc3cQ3qivngZ1I9N8TRDt9Zzg60ndF1lxLXkgt2Yrc5nxkTCrpyhuy4kYow5hbk-1TguYQINIx4s-caeiPcwqYKbQTJprAh2E6YILxRAsKPcRTDpkOLdW0gYz5jly3EDPen3dDvl6eP3dvxf7j9X233RcjN2wqDDM1N1KD5ULIZmElgHHUoFBCbVzra-WdLxsjnLDOc7sYFi2TjfNaiw15_O-OafieMU9VF3KDMUKPw5yr8q_LlV3Eh7M41x36akyhg3SqLqfFL2QCUMs</recordid><startdate>2007</startdate><enddate>2007</enddate><creator>Gosk, Jerzy</creator><creator>Rutowski, Roman</creator><creator>Urban, Maciej</creator><creator>Wiecek, Roman</creator><creator>Rabczyński, Jerzy</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7TK</scope></search><sort><creationdate>2007</creationdate><title>Brachial plexus injuries after radiotherapy - analysis of 6 cases</title><author>Gosk, Jerzy ; Rutowski, Roman ; Urban, Maciej ; Wiecek, Roman ; Rabczyński, Jerzy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p170t-707b1746a81334cb1753a01e6a5e4ab79fdb5d9d2c739389d187538e804c9d663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Brachial Plexus - radiation effects</topic><topic>Brachial Plexus Neuropathies - etiology</topic><topic>Brachial Plexus Neuropathies - pathology</topic><topic>Brachial Plexus Neuropathies - surgery</topic><topic>Breast Neoplasms - radiotherapy</topic><topic>Female</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Movement Disorders - etiology</topic><topic>Movement Disorders - surgery</topic><topic>Neurosurgical Procedures</topic><topic>Pain - etiology</topic><topic>Pain - surgery</topic><topic>Parotid Neoplasms - radiotherapy</topic><topic>Radiation Injuries - etiology</topic><topic>Radiation Injuries - pathology</topic><topic>Radiation Injuries - surgery</topic><topic>Radiotherapy - adverse effects</topic><topic>Sensation Disorders - etiology</topic><topic>Sensation Disorders - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gosk, Jerzy</creatorcontrib><creatorcontrib>Rutowski, Roman</creatorcontrib><creatorcontrib>Urban, Maciej</creatorcontrib><creatorcontrib>Wiecek, Roman</creatorcontrib><creatorcontrib>Rabczyński, Jerzy</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Neurosciences Abstracts</collection><jtitle>Folia neuropathologica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gosk, Jerzy</au><au>Rutowski, Roman</au><au>Urban, Maciej</au><au>Wiecek, Roman</au><au>Rabczyński, Jerzy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Brachial plexus injuries after radiotherapy - analysis of 6 cases</atitle><jtitle>Folia neuropathologica</jtitle><addtitle>Folia Neuropathol</addtitle><date>2007</date><risdate>2007</risdate><volume>45</volume><issue>1</issue><spage>31</spage><epage>35</epage><pages>31-35</pages><issn>1641-4640</issn><abstract>Radiation-induced brachial plexus neuropathy is caused by compression of the nerve fibres by dense and inelastic fibrous connective tissue. In this study our own experience in treatment of lesions of the brachial plexus after radiotherapy is presented. The clinical material consisted of 6 patients aged from 40 to 64 years with injuries of the brachial plexus after radiotherapy. The analysis of the material comprised: basic disease, duration of radiotherapy, radiated fields, total dose of radiation, onset and character of symptoms, location and severity of injury. 5 women were qualified for surgical treatment. After neurolysis of the brachial plexus a significant improvement was obtained in 2 cases. In one patient remission of pain and sensory recovery was temporary. No improvement was observed in the remaining 2 patients. Lesions of the brachial plexus after radiotherapy are rare but difficult to prevent. The treatment depends on the grade of severity of injury. Surgical neurolysis is advised for grades 3 and 4 on the LENT-SOMA scale.</abstract><cop>Poland</cop><pmid>17357009</pmid><tpages>5</tpages></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult Brachial Plexus - radiation effects Brachial Plexus Neuropathies - etiology Brachial Plexus Neuropathies - pathology Brachial Plexus Neuropathies - surgery Breast Neoplasms - radiotherapy Female Humans Middle Aged Movement Disorders - etiology Movement Disorders - surgery Neurosurgical Procedures Pain - etiology Pain - surgery Parotid Neoplasms - radiotherapy Radiation Injuries - etiology Radiation Injuries - pathology Radiation Injuries - surgery Radiotherapy - adverse effects Sensation Disorders - etiology Sensation Disorders - surgery Treatment Outcome |
| title | Brachial plexus injuries after radiotherapy - analysis of 6 cases |
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