Al-Benna Sammy, Schubert Cornelius, Steinau Hans Ulrich, Steinstraesser Lars
Department of Plastic and Reconstructive Surgery, Soft Tissue Tumour Reference Centre, BG University Hospital Bergmannsheil, Ruhr University Bochum Buerkle-de-la Camp Platz 1, 44789 Bochum Germany.
Cases J. 2009 Sep 15;2:6838. doi: 10.4076/1757-1626-2-6838.
This case report presents a 56-year-old man with right upper limb weakness which arose 22 years after initial local radiation treatment for a grade III fibrosarcoma. Nerve conduction studies revealed impairment of all three major upper limb nerves compared with the left, with particular impairment of the median and ulnar nerves in the most fibrotic area that had been irradiated. In addition, the patient received multiple courses of chemotherapy. The occurrence of radiation-induced brachial plexopathy should be considered in patients presenting with limb pain or weakness even many years after radiation therapy.
本病例报告介绍了一名56岁男性，其右上肢无力症状出现在最初因III级纤维肉瘤接受局部放射治疗22年后。神经传导研究显示，与左侧相比，上肢三大主要神经均有损伤，在接受过放射治疗的纤维化最严重区域，正中神经和尺神经损伤尤为明显。此外，该患者还接受了多疗程化疗。对于放疗多年后出现肢体疼痛或无力的患者，应考虑放射性臂丛神经病的发生。
