Magnificent MRI and fascinating selective nerve fascicle damage
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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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