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Prognosis of acute compressive radial neuropathy
W David Arnold1, Vivek R Krishna, Miriam Freimer
1Department of Neurology, Division of Neuromuscular Medicine, The Ohio State University, Columbus, Ohio 43210, USA. william.arnold@osumc.edu
Introduction:
Small published case series suggest that compressive radial neuropathy is often a self-limited phenomenon with a favorable prognosis. Due to paucity of data, we sought to clearly define prognosis.
Methods:
To define clinical and electrodiagnostic features in this condition, we retrospectively reviewed consecutive cases of compressive radial neuropathy confirmed using electrodiagnostic studies at a large tertiary center over a 10-year period.
Results:
A total of 51 patients (26 men, 25 women, mean age 46 years ± 15; range, 19-83 years) with compressive radial neuropathy were identified and reviewed. All patients in whom clinical follow-up was available (23 [45%] of the 51 patients identified) experienced complete recovery. Mean duration from onset to resolution of symptoms was 3.4 months.
Conclusions:
Our results support a good prognosis in essentially all patients with acute compressive radial neuropathies. This report provides valuable information to assist in counseling patients who may present with profound clinical deficits.
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