[Gilliatt-Sumner hand or true XXXX . A report on seven operated cases].

@entity1 @entity809 @entity5300 @entity51 @entity194 @entity158 @entity923 @entity2483 @entity531
BACKGROUND AND PURPOSE: The clinical picture of hand @entity194 related to a cervical @entity2483 was well described in the modern literature by Gilliatt and Sumner; in 1970, they reported a series of nine @entity1 whose motor status was stabilized following brachial plexus decompression. We report here seven @entity1 suffering from @entity531 ( @entity531 ), who developed hand @entity194 , sometimes because of diagnostic delay. METHODS: The @entity1 's charts were analysed retrospectively. RESULTS: The seven @entity1 were all female; the mean age was 43 years. The first complaints were @entity158 and @entity809 lasting six months to 5 years. Three @entity1 were treated with C56/C67 discectomy plus disc prosthesis (one @entity1 ), ulnar neurolysis at the elbow (the same @entity1 ), @entity923 (one @entity1 ), and intravenous immunoglobulins (one @entity1 ) before @entity531 diagnosis. Hand @entity194 , severe in five @entity1 , was present at presentation. All @entity1 underwent brachial plexus decompression by the anterior (four), posterior (two), or transaxillary (one) approach. This last approach was completed 18 months later by brachial plexus neurolysis via the anterior approach. Postoperatively, @entity51 was improved in two @entity1 and stabilized in five @entity1 . CONCLUSIONS: Physicians' unfamiliarity with @entity531 diagnosis or their reluctance to accept the diagnosis without electrical confirmation can lead to hand @entity194 . @entity5300 at this stage usually stabilizes the deficit.
