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. 2020 Apr 17;10(4):232. doi: 10.3390/diagnostics10040232

Table 1.

Summary of the previous studies on findings of magnetic resonance neurography or ultrasound of hourglass-like constriction neuropathy or neuralgic amyotrophy.

First Author, Year Evaluation Tool Summary
Van Rosmalen, 2019 [15] US 51 patients with NA (upper limb) vs. 50 control subjects
Increased cross-sectional areas in the affected nerves.
Kim, 2019 [1] MRN 2 patients with SSN and 1 patient with SSN + RN
Single focal constriction, multiple focal constrictions, diffuse swelling, and increased signal intensity
Sneag, 2018 [9] MRN 27 patients with NA in the brachial plexus
Focal intrinsic constrictions (32 of 38 nerves)
Bull’s eye sign
Sneag, 2017 [6] MRN 6 patients with NA
SSN, AN, RN, AIN
Arányi, 2017 [5] US 53 patients with NA with 70 affected nerves
AIN (23%), RN (17%), LTN (17%), SSN (11%), accessory nerve (9%), and AN (7%)
Sensitivity of US: 74%
Swelling without constriction, incomplete constriction, complete constriction
Noda, 2017 [14] US 6 patients with segmental swelling (larger cross-sectional diameter)
Involved nerves: LTN, SN, MN, MCN, and PIN
Lieba-samal, 2016 [13] US 4 patients with distal NA in AIN
Swelling or hypertrophy of the involved nerves.
Arányi, 2015 [4] US 14 patients with NA
RN, PIN, AIN, SSN, MCN, LTN, MCN, and AN
Four types of abnormalities: (1) focal or diffuse nerve/fascicle enlargement; (2) incomplete nerve constriction; (3) complete nerve constriction with torsion (hourglass-like appearance); and (4) fascicular entwinement. The types of abnormalities had no correlation with the prognosis.

Abbreviations: US, ultrasound; MRN, magnetic resonance neurography; NA, neuralgic amyotrophy; SSN, suprascapular nerve; AN, axillary nerve; RN, radial nerve; AIN, anterior interosseous nerve; LTN, long thoracic nerve; MN, median nerve; MCN, musculocutaneous nerve; PIN, posterior interosseous nerve.