1043-3155 Pediatr Neurol Briefs pedneurbriefs Pediatr Neurol Briefs Pediatric Neurology Briefs Pediatr Neurol Briefs 2166-6482 1043-3155 2166-3155 Pediatric Neurology Briefs Publishers Chicago, IL, USA PNB-8-56 10.15844/pedneurbriefs-8-7-12 Neuromuscular Disorders Neurology Pediatrics Nervous System Diseases Child Development Brain Diseases Neurosurgery Child Infant Median Mononeuropathies http://orcid.org/0000-0002-0173-7931 Millichap J. Gordon MD 1 2 * Division of Neurology, Children's Memorial Hospital, Chicago, IL Departments of Pediatrics and Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL Correspondence: Dr. J. Gordon Millichap, E-mail: jgmillichap@northwestern.edu 07 1994 01 06 2016 8 7 56 56 Copyright: © 1994 The Author(s) 1994 This work is licensed under the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Pediatric median mononeuropathies: a clinical and electromyographic study

The clinical and electromyographic characteristics of median mononeuropathy in 17 children, 6 girls and 11 boys, aged 5-17 years, are reported from the Departments of Neurology, Children’s Hospital, Boston and the Lahey Clinic, Burlington, MA.

 Median Mononeuropathy Carpal Tunnel Syndrome Cutaneous Mucinosis

The clinical and electromyographic characteristics of median mononeuropathy in 17 children, 6 girls and 11 boys, aged 5-17 years, are reported from the Departments of Neurology, Children’s Hospital, Boston and the Lahey Clinic, Burlington, MA. EMG showed a lesion at the wrist in 7 children, including 3 with idiopathic carpal tunnel syndrome (CTS), 1 related to skiing. Proximal lesions were identified in 10 (59%), including 8 with trauma. Five had bilateral disease, 3 with CTS. Nontraumatic cases (7) presented with intermittent numbness characteristic of CTS, pain and weakness, and painless weakness and atrophy of the thenar eminence. Mucolipidosis III, scleroderma, cutaneous mucinosis, and osteoid osteoma at the elbow were etiological factors in 4. Symptoms improved in 4 patients. Traumatic cases (10) occurred mainly in boys (8). Five were secondary to an elbow injury and 2 to more distal fractures. A laceration was responsible in 2. Complete recovery occurred in 2 with nerve compression. The results of surgery were variable; of 5 who had surgical decompression for nerve entrapment 3 improved initially. [1]

COMMENT. Carpal tunnel syndrome is more common in adults than children. A small thenar eminence in a child may be secondary to congenital thenar hypoplasia or congenital constriction bands.

 Deymeer F Jones HR Jr Pediatric median mononeuropathies: a clinical and electromyographic study Muscle Nerve 1994 Jul 17 7 755 762 10.1002/mus.880170709 8008002