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Radial Neuropathy: Clinical Anatomy, Clinical Presentation and Electrodiagnostic Evaluation

100 KES each

Radial Neuropathy is a practical neurophysiology book covering the anatomy, clinical presentation, localization, and electrodiagnostic assessment of radial nerve disorders.

It explains the radial nerve from its C5–T1 roots and posterior cord, through the axilla and radial groove, to its deep motor and superficial sensory branches. The book relates the nerve's anatomy to its motor and sensory functions and shows how different injury levels produce different clinical patterns.

A central clinical feature discussed is wrist drop, characterized by loss of wrist and finger extension, with possible weakness, sensory disturbance, and difficulty with everyday activities. Causes include nerve compression, humeral fractures and trauma, inappropriate crutch use, toxic or neurological disorders, and surgical or injection-related injury.

The book then focuses on electrodiagnostic evaluation, emphasizing that EDX should identify radial neuropathy and accurately localize the level of dysfunction. It covers radial motor studies, electrode placement, stimulation sites, technical settings, temperature requirements, and superficial radial sensory studies.

Particular attention is given to axillary radial neuropathy, spiral-groove neuropathy, and superficial radial sensory neuropathy. The book explains how clinical findings differ according to lesion location—for example, triceps involvement in more proximal lesions and sparing of elbow extension in typical spiral-groove neuropathy.

 

Finally, the book emphasizes that wrist drop is a localization problem, and the differential diagnosis should include radial nerve lesions at different levels as well as posterior cord brachial plexopathy, C7–C8 radiculopathy, and central lesions. Careful clinical examination remains essential. 

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