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February 18, 2014; 82 (7) Editorial

Magnificent MRI and fascinating selective nerve fascicle damage

John D. Stewart
First published January 10, 2014, DOI: https://doi.org/10.1212/WNL.0000000000000132
John D. Stewart
From the Division of Neurology, University of British Columbia, Vancouver, Canada.
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Magnificent MRI and fascinating selective nerve fascicle damage
John D. Stewart
Neurology Feb 2014, 82 (7) 554-555; DOI: 10.1212/WNL.0000000000000132

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A century ago less 2 years, the distinguished French neurologist Joseph Dejerine and his colleagues1 meticulously studied the clinical sequelae of nerve lesions in World War I soldiers. They showed clearly that partial lesions in a major peripheral nerve can produce very selective sensory and motor deficits that could mimic the clinical picture of damage to just a distal branch of that nerve. Thus a proximal nerve lesion can masquerade as a more distal one, befuddling the clinician and causing important errors in localization. Unfortunately, these important observations have been lost in the mists of time.

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  • © 2014 American Academy of Neurology
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