RT Journal Article
SR Electronic
T1 A practical approach to enlargement of nerves, plexuses and roots
JF Practical Neurology
JO Pract Neurol
FD BMJ Publishing Group Ltd
SP 105
OP 115
DO 10.1136/practneurol-2014-001004
VO 15
IS 2
A1 Satish V Khadilkar
A1 Rakhil S Yadav
A1 Girish Soni
YR 2015
UL http://pn.bmj.com/content/15/2/105.abstract
AB Detecting enlargement of accessible nerves is very helpful in assessing patients with peripheral nerve disorders, as only a few types of neuropathy lead to nerve thickening. The three leading causes are leprosy, hereditary motor and sensory neuropathies (types 1 and 3) and chronic inflammatory demyelinating neuropathies. MRI, neurography and ultrasonography allow assessment of clinically inaccessible portions of deep-seated nerves, plexuses and roots. As a result, isolated proximal segment thickenings, as found in chronic inflammatory sensory polyradiculopathy, can now be better evaluated and managed. Similarly, focal nerve enlargements due to infection, inflammation, infiltration and neoplasm are being identified and treated effectively. We present a practical approach to the diagnosis and management of patients with enlarged peripheral nerves, plexuses and roots, including cranial nerves.