PMID- 24239057 OWN - NLM STAT- MEDLINE DCOM- 20140910 LR - 20140115 IS - 1873-2364 (Electronic) IS - 0960-8966 (Linking) VI - 24 IP - 1 DP - 2014 Jan TI - Clinical, electrophysiological and magnetic resonance findings in a family with hereditary neuropathy with liability to pressure palsies caused by a novel PMP22 mutation. PG - 56-62 LID - S0960-8966(13)00957-7 [pii] LID - 10.1016/j.nmd.2013.09.005 [doi] AB - Hereditary neuropathy with liability to pressure palsies (HNPP) is a disorder mainly caused by a 1.5-Mb deletion at 17p11.2-12 (and in some rare cases by point mutations) and clinically associated with recurrent painless palsies. Here, we performed electrophysiological (motor, sensory and terminal latency index), MRI and genetic studies in a family referred for ulnar neuropathy with pain. Surprisingly, we found typical neurophysiological features of HNPP (prolongation of distal motor latencies and diffuse SNCV slowing with significant slowing of motor nerve conduction velocities). Besides, the proband presented conduction block in left ulnar, left median and both peroneal nerves. MRI findings were consistent with an underlying neuropathy. Molecular studies identified a novel frameshift mutation in PMP22 confirming the diagnosis of HNPP. Our data suggest that neurophysiological studies are essential to characterize underdiagnosed HNPP patients referred for peripheral neuropathy. Our experience shows that MRI could be a complementary tool for the diagnosis of these patients. CI - Copyright (c) 2013 Elsevier B.V. All rights reserved. FAU - Yurrebaso, Izaskun AU - Yurrebaso I AD - Department of Clinical Neurophysiology, Hospital Universitario Cruces, Barakaldo, Bizkaia, Spain. FAU - Casado, Oscar L AU - Casado OL AD - Osatek Alta Tecnologia Sanitaria S.A., Galdakao, Bizkaia, Spain. FAU - Barcena, Joseba AU - Barcena J AD - Department of Neurology, Hospital Universitario Cruces, Barakaldo, Bizkaia, Spain. FAU - Perez de Nanclares, Guiomar AU - Perez de Nanclares G AD - Molecular (Epi)Genetic Laboratory, Research Unit, Hospital Universitario Araba-Txagorritxu, BioAraba, Vitoria-Gasteiz, Spain. FAU - Aguirre, Urko AU - Aguirre U AD - Research Unit, REDISSEC: Health Services Research on Chronic Patients Network, Hospital Galdakao-Usansolo, Galdakao, Bizkaia, Spain. Electronic address: urko.aguirrelarracoechea@osakidetza.net. LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130913 PL - England TA - Neuromuscul Disord JT - Neuromuscular disorders : NMD JID - 9111470 RN - 0 (Myelin Proteins) RN - 0 (PMP22 protein, human) RN - Tomaculous neuropathy SB - IM MH - Adult MH - Arthrogryposis/*diagnosis/genetics MH - Electrodiagnosis MH - Frameshift Mutation MH - Hereditary Sensory and Motor Neuropathy/*diagnosis/genetics MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Mutation MH - Myelin Proteins/*genetics OTO - NOTNLM OT - Hereditary neuropathy with liability to pressure palsies OT - MRI OT - No recurrent palsies with pain OT - Novel mutation OT - PMP22 EDAT- 2013/11/19 06:00 MHDA- 2014/09/11 06:00 CRDT- 2013/11/19 06:00 PHST- 2013/04/04 00:00 [received] PHST- 2013/07/20 00:00 [revised] PHST- 2013/09/05 00:00 [accepted] PHST- 2013/11/19 06:00 [entrez] PHST- 2013/11/19 06:00 [pubmed] PHST- 2014/09/11 06:00 [medline] AID - S0960-8966(13)00957-7 [pii] AID - 10.1016/j.nmd.2013.09.005 [doi] PST - ppublish SO - Neuromuscul Disord. 2014 Jan;24(1):56-62. doi: 10.1016/j.nmd.2013.09.005. Epub 2013 Sep 13.