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Select Assign Condition Type Groups to Rebate Agreement Types As shown in Figure 7-20, you are presented with a list of agreement types as created in the system These could be rebate agreements or sales deals or promotions and you are now able to assign the relevant condition type group You can now proceed with creating and maintaining the condition types and pricing procedures Select Condition Technique for Rebate Processing However, we will not be dealing with the actual configuration necessary here This is due to the fact that pricing procedures, the determination thereof, conditions types, tables, and access sequences are all dealt with in detail in 8 There are not many differences, other than what is described in the following paragraphs, between the determination and maintenance of those conditions used by rebates and those of standard conditions What is important to note here is that on the pricing procedure used with rebates, the condition subtotal (SubTo field), which is to be used as the basis for the rebate, should contain the value 7 This will ensure the value held in this line of the pricing procedure is passed to the field KOMP-BONBA, which will be used as the basis for the rebate in further processing

Ophthalmic branch Trigeminal Maxillary branch Mandibular branch Anterior cutaneous nerve of neck Supraclavicular nerves Axillary nerve

Medial cutaneous nerve of arm Lateral cutaneous nerve of arm (branch of radial nerve) Medial cutaneous nerve of forearm Lateral cutaneous nerve of forearm

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Figure 24 1 Cutaneous innervation The segmental or radicular (root) distribution is shown on the left side of the body and the peripheral nerve distribution on the right side Above: anterior view; facing page: posterior view (Reproduced, with permission, from Simon RP et al Clinical Neurology, 4th ed McGraw-Hill, 1999) (continued ) tomal sensory loss (or both) may be found unilaterally or bilaterally in the upper limbs, and tendon reflexes mediated by the affected root or roots are depressed The C5 and C6 nerve roots are most commonly involved, and examination frequently then reveals weakness of muscles supplied by these roots (eg, deltoids, supraspinatus and infraspinatus, biceps, brachioradialis), pain or sensory loss about the shoulder and outer border of the arm and forearm, and depressed biceps and brachioradialis reflexes Spastic paraparesis may also be present if there is an associated myelopathy, sometimes accompanied by posterior column or spinothalamic sensory deficits in the legs Plain radiographs of the cervical spine show osteophyte formation, narrowing of disk spaces, and encroachment on

Lateral cutaneous nerve of arm Posterior cutaneous nerve of arm Medial cutaneous nerve of arm Lateral cutaneous nerve of forearm Posterior cutaneous nerve of forearm Medial cutaneous nerve of forearm Posterior lumbar rami Posterior sacral rami Radial Median Ulnar

Lateral femoral cutaneous Obturator Anterior femoral cutaneous Posterior femoral cutaneous Lateral cutaneous nerve of calf

Figure 24 1 (Continued ) the intervertebral foramina, but such changes are common in middle-aged persons and may be unrelated to the presenting complaint CT or MRI helps confirm the diagnosis and exclude other structural causes of the myelopathy Restriction of neck movements by a cervical collar may relieve pain Operative treatment may be necessary to prevent further progression if there is a significant neurologic deficit or if root pain is severe, persistent, and unresponsive to conservative measures

Brachial plexus neuropathy may be idiopathic, sometimes occurring in relationship to a number of different nonspecific illnesses or factors In other instances, brachial plexus lesions follow trauma or result from congenital anomalies, neoplastic involvement, or injury by various physical agents In rare instances, the disorder occurs on a familial basis

7:

Idiopathic brachial plexus neuropathy (neuralgic amyotrophy) characteristically begins with severe pain about the shoulder, followed within a few days by weakness, reflex changes, and sensory disturbances involving especially the C5 and C6 segments but affecting any nerve in the brachial plexus Symptoms and signs are usually unilateral but may be bilateral Wasting of affected muscles is sometimes profound The disorder relates to disturbed function of cervical roots or part of the brachial plexus, but its precise cause is unknown Recovery occurs over the ensuing months but may be incomplete Treatment is purely symptomatic

van Alfen N et al The clinical spectrum of neuralgic amyotrophy in 246 cases Brain 2006 Feb;129(Pt 2):438 50 [PMID: 16371410]

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