{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T02:55:48Z","timestamp":1783479348974,"version":"3.55.0"},"reference-count":0,"publisher":"National Library of Serbia","issue":"8","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["VSP","VOJNOSANIT PREGL","VOJNOSANITETSKI PREG"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p>Background\/Aim. Multifocal motor neuropathy (MMN) is an immune-mediated\n   disorder characterized by slowly progressive asymetrical weakness of limbs\n   without sensory loss. The objective of this study was to investigate the\n   involvement of brachial plexus using combined cervical magnetic stimulation\n   and magnetic resonance imaging (MRI) of plexus brachialis in patients with\n   MMN. We payed special attention to the nerve roots forming nerves inervating\n   weak muscles, but without detectable conduction block (CB) using conventional\n   nerve conduction studies. Methods. Nine patients with proven MMN were\n   included in the study. In all of them MRI of the cervical spine and brachial\n   plexus was performed using a Siemens Avanto 1.5 T unit, applying T1 and turbo\n   spinecho T1 sequence, axial turbo spin-echo T2 sequence and a coronal\n   fat-saturated turbo spin-echo T2 sequence. Results. In all the patients\n   severe asymmetric distal weakness of muscles inervated by radial, ulnar,\n   median and peroneal nerves was observed and the most striking presentation\n   was bilateral wrist and finger drop. Three of them had additional proximal\n   weakness of muscles inervated by axillar and femoral nerves. The majority of\n   the patients had slightly increased cerebrospinal fluid (CSF) protein\n   content. Six of the patients had positive serum polyclonal IgM anti-GM1\n   antibodies. Electromyoneurography (EMG) showed neurogenic changes, the most\n   severe in distal muscles inervated by radial nerves. All the patients had\n   persistent partial CBs outside the usual sites of nerve compression in\n   radial, ulnar, median and peroneal nerves. In three of the patients cervical\n   magnetic stimulation suggested proximal CBs between cervical root emergence\n   and Erb?s point (prolonged motor root conduction time). In all the patients\n   T2-weighted MRI revealed increased signal intensity in at least one cervical\n   root, truncus or fasciculus of brachial plexus. Conclusion. We found clinical\n   correlation between muscle weakness, prolonged motor root conduction time and\n   MRI abnormalities of the brachial plexus, which was of the greatest\n   importance in the nerves without CB inervating weak muscles.<\/jats:p>","DOI":"10.2298\/vsp1408723b","type":"journal-article","created":{"date-parts":[[2014,7,31]],"date-time":"2014-07-31T09:26:38Z","timestamp":1406798798000},"page":"723-729","source":"Crossref","is-referenced-by-count":7,"title":["Diagnostic value of combined magnetic resonance imaging examination of brachial plexus and electrophysiological studies in multifocal motor neuropathy"],"prefix":"10.2298","volume":"71","author":[{"given":"Ivana","family":"Basta","sequence":"first","affiliation":[{"name":"Clinical Center of Serbia, Neurology Clinic, Faculty of Medicine, Belgrade"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Nikolic","sequence":"additional","affiliation":[{"name":"Clinical Center of Serbia, Neurology Clinic, Faculty of Medicine, Belgrade"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Slobodan","family":"Apostolski","sequence":"additional","affiliation":[{"name":"Outpatient Neurological Clinic, Belgrade"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Slobodan","family":"Lavrnic","sequence":"additional","affiliation":[{"name":"Clinical Center of Serbia, Magnetic Resonance Imaging Center, Faculty of Medicine, Belgrade"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatjana","family":"Stosic-Opincal","sequence":"additional","affiliation":[{"name":"Clinical Center of Serbia, Magnetic Resonance Imaging Center, Faculty of Medicine, Belgrade"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Banjalic","sequence":"additional","affiliation":[{"name":"Clinical Center of Serbia, Magnetic Resonance Imaging Center, Faculty of Medicine, Belgrade"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sladjana","family":"Knezevic-Apostolski","sequence":"additional","affiliation":[{"name":"Outpatient Neurological Clinic, Belgrade"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4325-5498","authenticated-orcid":false,"suffix":"V.","given":"Tihomir","family":"Ilic","sequence":"additional","affiliation":[{"name":"University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivan","family":"Marjanovic","sequence":"additional","affiliation":[{"name":"Clinical Center of Serbia, Neurology Clinic, Faculty of Medicine, Belgrade"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milena","family":"Milicev","sequence":"additional","affiliation":[{"name":"Clinical Center of Serbia, Neurology Clinic, Faculty of Medicine, Belgrade"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dragana","family":"Lavrnic","sequence":"additional","affiliation":[{"name":"Clinical Center of Serbia, Neurology Clinic, Faculty of Medicine, Belgrade"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1078","container-title":["Vojnosanitetski pregled","Military Medical and Pharmaceutical Journal of Serbia"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T11:14:36Z","timestamp":1685358876000},"score":1,"resource":{"primary":{"URL":"https:\/\/doiserbia.nb.rs\/Article.aspx?ID=0042-84501408723B"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014]]},"references-count":0,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2014]]}},"URL":"https:\/\/doi.org\/10.2298\/vsp1408723b","relation":{},"ISSN":["0042-8450","2406-0720"],"issn-type":[{"value":"0042-8450","type":"print"},{"value":"2406-0720","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014]]}}}