Burns R J
Clin Exp Neurol. 1978;15:221-7.
Three patients are described who developed a brachial plexus neuropathy following radiation treatment for cancer of the breast. The clinical features consisted of a painless, slowly progressive sensory motor disturbance, affecting especially the hand. The latent period between the radiation therapy and the onset of the neuropathy was exceptionally long, being 8, 15 and 15 years respectively. Two patients were initially incorrectly diagnosed as having a carpal tunnel syndrome. The possible mechanisms of the insidious neuropathy are discussed. At the present time no treatment is of proven benefit.
本文描述了3例乳腺癌放疗后发生臂丛神经病变的患者。临床特征为无痛性、缓慢进展的感觉运动障碍，尤其累及手部。放疗与神经病变发作之间的潜伏期异常长，分别为8年、15年和15年。2例患者最初被误诊为腕管综合征。文中讨论了这种隐匿性神经病变的可能机制。目前尚无经证实有效的治疗方法。
