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April 01, 1996; 46 (4) ARTICLES

Phenotypic heterogeneity in hereditary neuropathy with liability to pressure palsies associated with chromosome 17p11.2-12 deletion

D. Pareyson, V. Scaioli, F. Taroni, S. Botti, D. Lorenzetti, A. Solari, C. Ciano, A. Sghirlanzoni
First published April 1, 1996, DOI: https://doi.org/10.1212/WNL.46.4.1133
D. Pareyson
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V. Scaioli
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F. Taroni
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S. Botti
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D. Lorenzetti
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Phenotypic heterogeneity in hereditary neuropathy with liability to pressure palsies associated with chromosome 17p11.2-12 deletion
D. Pareyson, V. Scaioli, F. Taroni, S. Botti, D. Lorenzetti, A. Solari, C. Ciano, A. Sghirlanzoni
Neurology Apr 1996, 46 (4) 1133-1137; DOI: 10.1212/WNL.46.4.1133

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Abstract

Hereditary neuropathy with liability to pressure palsies (HNPP) is commonly associated with a 1.5-megabase deletion on chromosome 17p11.2-12. We analyzed the phenotypic expression of the deletion in 39 HNPP patients from 16 families carrying the deletion. Two-thirds of the individuals had episodes of acute mononeuropathy, often involving nerve territories of the upper limbs or brachial plexus; however, 41% of affected subjects were unaware of their disease, and 25% were almost or totally free of symptoms; one-third complained of chronic symptoms and four older patients had a picture of polyneuropathy. Electrophysiologic abnormalities differed among affected subjects, ranging from conduction abnormalities localized at common entrapment sites to diffuse conduction slowing, usually more evident at entrapment sites; patients from one family had preeminent proximal involvement. The spectrum of phenotypic expression of deletion-associated HNPP appears to be broader than previously thought. The prevalence of the disease is probably underestimated, and the availability of molecular diagnosis should increase disease detection.

NEUROLOGY 1996;46: 1133-1137

  • Copyright 1996 by Advanstar Communications Inc.
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