Hereditary neuropathy with liability to pressure palsies: A clinical, electroneurophysiological and morphological study

Clinical, electroneurographic and myographic studies were performed on 99 patients of 13 families having hereditary neuropathy with liability to pressure palsies (HNPP) and on 116 relatives. Diagnosis was confirmed in all families by a nerve biopsy of the index case. Large focal myelin thickenings (...

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Veröffentlicht in:Journal of the neurological sciences 1993-06, Vol.116 (2), p.176-184
Hauptverfasser: Verhagen, W.I.M., Gabreëls-Festen, A.A.W.M., van Wensen, P.J.M., Joosten, E.M.G., Vingerhoets, H.M., Gabreëls, F.J.M., de Graaf, R.
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container_end_page 184
container_issue 2
container_start_page 176
container_title Journal of the neurological sciences
container_volume 116
creator Verhagen, W.I.M.
Gabreëls-Festen, A.A.W.M.
van Wensen, P.J.M.
Joosten, E.M.G.
Vingerhoets, H.M.
Gabreëls, F.J.M.
de Graaf, R.
description Clinical, electroneurographic and myographic studies were performed on 99 patients of 13 families having hereditary neuropathy with liability to pressure palsies (HNPP) and on 116 relatives. Diagnosis was confirmed in all families by a nerve biopsy of the index case. Large focal myelin thickenings (tomacula) were found in nerve biopsies of affected persons, whether or not pressure palsies had occured. By using three electroneurographical parameters it was possible to discriminate between asymptomatic patients and unaffected relatives. Complaints sometimes mentioned in literature as being associated with HNPP such as low back pain, brachialgia and short lasting paraesthesia are not related to HNPP. The hereditary transmission is autosomal dominant with total penetration but variable expression.
doi_str_mv 10.1016/0022-510X(93)90323-Q
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Prion diseases</subject><subject>Electromyography</subject><subject>Electronmicroscopy</subject><subject>Electrophysiology</subject><subject>Female</subject><subject>Hereditary neuropathy</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microscopy, Electron</subject><subject>Middle Aged</subject><subject>Morphometry</subject><subject>Nerve conduction velocity</subject><subject>Nerve Fibers, Myelinated - ultrastructure</subject><subject>Neurology</subject><subject>Peripheral Nervous System Diseases - genetics</subject><subject>Peripheral Nervous System Diseases - pathology</subject><subject>Peripheral Nervous System Diseases - physiopathology</subject><subject>Sural Nerve - pathology</subject><issn>0022-510X</issn><issn>1878-5883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkVFrFDEUhYModa3-A4U8iCg4mkySScYHoZRqhYIUFHwLmcyNG8lOxiRjmX_frLvsoz4F7vnuyeUchJ5T8o4S2r0npG0bQcmP1z170xPWsub2AdpQJVUjlGIP0eaEPEZPcv5FCOmU6s_QmWI9Iz3doLtrSDD6YtKKJ1hSnE3ZrvjOly0O3gw--LLiEvGcIOclAZ5NyB7yB3yBbfCTtya8xRDAlhQPDts1-xjiz72EzTTiXUzz9jTJZRnXp-iRq0bw7Pieo--frr5dXjc3Xz9_uby4aSynsjQdKCnJwAYQVvI6o60bTeda0w7CDpKLoXVCiM5yMOAGwgS1IzPcGWfEqNg5enXwnVP8vUAueuezhRDMBHHJWgolOtrJ_4K0E7InvK0gP4A2xZwTOD0nv6v5aUr0vhi9T13vU9c903-L0bd17cXRfxl2MJ6Wjk1U_eVRN7mm5JKZrM8njKu2_s4r9vGAQQ3tj4eks_Uw2dphqhXoMfp_33EP1Rqt6Q</recordid><startdate>19930601</startdate><enddate>19930601</enddate><creator>Verhagen, W.I.M.</creator><creator>Gabreëls-Festen, A.A.W.M.</creator><creator>van Wensen, P.J.M.</creator><creator>Joosten, E.M.G.</creator><creator>Vingerhoets, H.M.</creator><creator>Gabreëls, F.J.M.</creator><creator>de Graaf, R.</creator><general>Elsevier B.V</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>19930601</creationdate><title>Hereditary neuropathy with liability to pressure palsies: A clinical, electroneurophysiological and morphological study</title><author>Verhagen, W.I.M. ; Gabreëls-Festen, A.A.W.M. ; van Wensen, P.J.M. ; Joosten, E.M.G. ; Vingerhoets, H.M. ; Gabreëls, F.J.M. ; de Graaf, R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-6e8770b3be5c74c4112fda6f2a2b5cb745b2f5556c4eaefb0351cd3a4fafa5d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Degenerative and inherited degenerative diseases of the nervous system. 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Diagnosis was confirmed in all families by a nerve biopsy of the index case. Large focal myelin thickenings (tomacula) were found in nerve biopsies of affected persons, whether or not pressure palsies had occured. By using three electroneurographical parameters it was possible to discriminate between asymptomatic patients and unaffected relatives. Complaints sometimes mentioned in literature as being associated with HNPP such as low back pain, brachialgia and short lasting paraesthesia are not related to HNPP. The hereditary transmission is autosomal dominant with total penetration but variable expression.</abstract><cop>Shannon</cop><pub>Elsevier B.V</pub><pmid>8393091</pmid><doi>10.1016/0022-510X(93)90323-Q</doi><tpages>9</tpages></addata></record>
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subjects Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Child
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Electromyography
Electronmicroscopy
Electrophysiology
Female
Hereditary neuropathy
Humans
Male
Medical sciences
Microscopy, Electron
Middle Aged
Morphometry
Nerve conduction velocity
Nerve Fibers, Myelinated - ultrastructure
Neurology
Peripheral Nervous System Diseases - genetics
Peripheral Nervous System Diseases - pathology
Peripheral Nervous System Diseases - physiopathology
Sural Nerve - pathology
title Hereditary neuropathy with liability to pressure palsies: A clinical, electroneurophysiological and morphological study
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