HIGHLIGHTS

Neuromuscular Ultrasound Aids in the Diagnosis of a Rare Entrapment Neuropathy

Montefiore Einstein neuromuscular specialists have been using neuromuscular ultrasound for the past decade as a non-invasive adjunct to electrodiagnostic testing due to its value in aiding the precise and accurate diagnosis and management of neuromuscular disorders. A report on the topic of neuromuscular ultrasound by Steven Herskovitz, MD, and his team explores entrapment neuropathy and adds to our understanding of neuromuscular disorders.

Steven Herskovitz, MD, and his team published on a little known and uncommon cause of entrapment neuropathy in a paper titled Nerve entrapments related to muscle herniation. Muscle herniation, a rarely reported cause of peripheral nerve entrapment, occurs when muscle protrudes through an acquired or congenital fascial defect. These herniations can compress adjacent peripheral nerves with resultant neurological deficits. 

Dr. Herskovitz’s report presented a case of superficial peroneal neuropathy, related to peroneus brevis muscle herniation at the ankle, and reviewed the existing literature on nerve entrapments secondary to muscle herniation. In this study, patients suffer from pain, numbness or paresthesias, and often present with a small, tender, palpable mass with a unique diagnostic signature—Tinel’s sign. The application of ultrasound by neurologists, specifically to disorders of the nerve and muscle , is a relatively recent diagnostic technique, and few centers have incorporated this technology into the clinical setting. 

We are among the highest-performing centers in the nation for neurology, according to U.S. News & World Report, and we have one of the best residency and fellowship training programs worldwide. 

 

Patient referrals

Montefiore Einstein Saul R. Korey Department of Neurology, we know providing patients with the best possible care includes teamwork and trust. We work closely with our valued referring physicians to ensure open communication and reliable expertise. 

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Mark F. Mehler MD, Chair, Neurology
mark.mehler@einsteinmed.edu

Montefiore Einstein Neurology