Addas Bassam M
Division of Neurosurgery, Department of Surgery, Faculty of Medicine, King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia.
Neurosciences (Riyadh). 2012 Jan;17(1):64-5.
We report a case of left upper trunk neuropraxia following an uneventful case of lumbar spine fixation and fusion performed in the prone position. The cause of the injury was believed to be a very tight endotracheal tube tie in addition to the patient`s head turned to one side; both caused a compression in the left supraclavicular region compressing the upper trunk of the brachial plexus. On literature review, there are limited reports of endotracheal tube tie causing upper trunk brachial plexus reported in the English literature. Attention and care needs to be exercised to avoid this largely preventable complication.
我们报告一例在俯卧位进行的腰椎固定融合术顺利完成后发生左上肢干神经失用的病例。损伤原因被认为是气管内导管系带过紧，再加上患者头部转向一侧；两者均导致左锁骨上区域受压，压迫臂丛神经上干。经文献检索，英文文献中关于气管内导管系带导致臂丛神经上干损伤的报道有限。需要注意并加以小心以避免这种在很大程度上可预防的并发症。
