Tanaka Katsuhiro, Muramatsu Masatoshi, Tashiro Haruhiko, Ito Hiroji
Department of Neurosurgery, Kuwana City Hospital, 435 Kitabessho, Kuwana-shi, Mie 511-0819, Japan.
No Shinkei Geka. 2009 Jan;37(1):65-9.
This article reports a case of a 59-year-old male who suffered from left brachial plexopathy occurring at night in bed. He had experienced multiple surgical courses of thyroid tumor resection including neck dissection and had presented left secondary jugular phlebectasia Jugular phlebectasia is mainly congenital and sometimes secondarily induced by compression, mechanical ventilation, trauma, thrombosis, etc. Brachial plexopathy is usually caused by neck and arm trauma, additionally caused by iatrogenic nerve and vessel injury. To our knowledge, this is the first report of brachial plexopathy accompanied by ipsilateral jugular phlebectasia. We hypothesized the etiology of this case through multimodal examinations and reviewed the literature about jugular phlebectasia and brachial plexopathy.
本文报道了一例59岁男性患者,其在床上夜间发生左臂丛神经病变。他经历了多次甲状腺肿瘤切除手术,包括颈部清扫术,并出现了左继发性颈静脉扩张。颈静脉扩张主要是先天性的,有时也由压迫、机械通气、创伤、血栓形成等继发引起。臂丛神经病变通常由颈部和手臂创伤引起,此外还可由医源性神经和血管损伤引起。据我们所知,这是首例伴有同侧颈静脉扩张的臂丛神经病变报告。我们通过多模态检查对该病例的病因进行了推测,并回顾了有关颈静脉扩张和臂丛神经病变的文献。