Fayyaz Muniba, Hawley Rollin J
Internal Medicine, Fatima Memorial Hospital, Lahore, PAK.
Neurology, Carilion New River Valley Medical Center, Pulaski, USA.
Cureus. 2018 Jul 5;10(7):e2927. doi: 10.7759/cureus.2927.
Needle electromyography is a common procedure used by physicians to detect an underlying neuromuscular disorder. It is performed by inserting a needle electrode in different locations of the muscles and measures the muscle reaction or electrical activity in response to a nerve's stimulation of the muscle on an oscilloscope. The procedure is usually safe, however, in rare cases, the insertion of the needle in the pleura or lung can cause a pneumothorax, which can be life-threatening. Here, we have reported a case in which a puncture in the right cervical paraspinal muscle during a needle electromyography procedure caused a right-sided pneumothorax in a 49-year-old female patient who was further treated in the hospital until the pneumothorax resolved. In addition, a technique that can be used to prevent this life-threatening complication will also be discussed. To our knowledge, one similar case report has been presented in the past.
针极肌电图检查是医生用于检测潜在神经肌肉疾病的常见操作。该操作通过将针电极插入肌肉的不同位置，并在示波器上测量肌肉对神经刺激的反应或电活动。该操作通常是安全的，然而，在极少数情况下，针插入胸膜或肺部会导致气胸，这可能危及生命。在此，我们报告了一例在针极肌电图检查过程中，右侧颈旁脊柱旁肌穿刺导致一名49岁女性患者出现右侧气胸的病例，该患者在医院接受了进一步治疗，直至气胸消散。此外，还将讨论一种可用于预防这种危及生命并发症的技术。据我们所知，过去曾有一份类似的病例报告。
