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Hereditary neuralgic amyotrophy (HNA) is an autosomal-dominant disorder characterized by recurrent attacks of pain, weakness, and sensory loss in the distribution of the brachial plexus often beginning in childhood56,113 The clinical and electrophysiological features of HNA resemble those of IBPN HNA should be considered in patients with recurrent attacks of brachial plexitis even though the nonhereditary, idiopathic cases can recur56 In addition, hereditary neuropathy with liability to pressure palsies can present as painless brachial plexopathy This may be one etiology of backpack palsy that was discussed in a previous section In

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printf( "Title of DVD #%d: ", dvdNum + 1 );

This condition refers to paresis of the arms occurring in soldiers or civilians wearing heavy backpacks or rucksacks strapped around the shoulders1,2,3,107,108 Motor and sensory losses most typically are in the distribution of the upper trunk but can be more widespread The injury is usually neuropraxic in nature, although

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contrast to HNA, hereditary neuropathy with liability to pressure palsy (HNPP) is a generalized or multifocal process, which is demyelinating in nature HNA can be caused by mutations in the gene septin 9 (SEPT9), while HNPP is usually caused by deletions in chromosome 17p112, resulting in a loss of function of peripheral myelin protein 22 (PMP-22) See 9 regarding Charcot Marie Tooth Disease and Related Disorders for more details

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Once the prompt is printed, we ll call fgets() to read in a line of text from the console. We ll store the line in the char array title[ dvdNum ]. We ll tell fgets() to limit input to the length of that char array, which is kMaxTitleLength. The last parameter, stdin, tells fgets() to read its input from the console, as opposed to reading from a file.

neurolysis, nerve grafting, neurotization, and free muscle transfer are performed in order to assist in regaining shoulder abduction and elbow exion and some use of the hand function114,116 118

In this section, we discuss mononeuropathies of the upper limb mainly due to trauma, compression, or entrapment, or those that are idiopathic in nature Any of these nerves may be affected alone or in combination with other nerve lesions in other settings such as vasculitis (isolated or systemic), infection (eg, Lyme disease, leprosy, HIV, cytomegalovirus, and hepatitis), immune-mediated demyelination (eg, multifocal motor neuropathy and multifocal acquired demyelinating motor and sensory neuropathy), and other in ammatory neuropathies (eg, perineuritis and sarcoidosis), as discussed in other chapters in this book

fgets( title[ dvdNum ], kMaxTitleLength, stdin ); }

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The treatment of traumatic brachial plexopathies and timing of any surgical intervention are dependent on the type and severity of the injury, the location, and the time frame91 Most closed injuries result in neuropraxic or axonotmesis that may recover spontaneously As a result, they are initially treated conservatively with physical and occupational therapy Patients are followed closely with serial clinical and electrodiagnostic assessments to assess for recovery If patients show no signs of recovery after 2 3 months in upper trunk lesions or 4 5 months for middle or lower trunk lesions, surgical intervention should be considered91 Injuries associated with high-energy trauma or those associated with near-total paralysis may be observed for a shorter period of time (3 weeks to 3 months) prior to surgery114 Injuries associated with sharp penetrating trauma are more likely associated with severing of nerves and should be repaired within 72 hours, if possible17,90,98,115 Worsening neurological function, hematoma formation, concomitant bone or vascular injuries, and compartment syndrome are other indications for more acute surgical intervention91 Various surgical techniques including

As discussed previously, the spinal accessory nerve does not arise from the brachial plexus Since it is often damaged with trauma to the neck and shoulder region with or without brachial plexus involvement, we discuss spinal accessory neuropathy in this chapter Lymph node biopsy and other surgical procedures in the posterior triangle are very common etiologies for spinal accessory neuropathies The nerve can also be involved in IBPN Injury of the nerve results in drop of the ipsilateral shoulder and lateral winging of the scapula (Fig 21 14) Winging from a spinal accessory nerve lesion is accentuated by shoulder abduction to

Take a look at the first parameter we passed to fgets():

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