成人创伤性脑损伤合并臂丛神经损伤：一项回顾性研究。
Brachial Plexus Injuries in Adults with Traumatic Brain Injury : A Retrospective Study.
作者信息
Tezel Nihal, Can Aslı, Cankurtaran Damla, Akyüz Ece Ünlü, Çakcı Aytül
机构信息
Department of Physical Medicine and Rehabilitation, University of Health Sciences Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.
Department of Physical Medicine and Rehabilitation, Losante Hospital, Ankara, Turkey.
出版信息
J Korean Neurosurg Soc. 2021 Mar;64(2):255-260. doi: 10.3340/jkns.2020.0187. Epub 2021 Feb 26.
OBJECTIVE
We aimed to investigate the presence of brachial plexus injury (BPI) in traumatic brain injury (TBI) patients and to draw attention to BPI, which can be overlooked by physicians in TBI patients.
METHODS
The study was designed retrospectively by examining the files of 58 patients with moderate to severe TBI to investigate coexistence of TBI and BPI.
RESULTS
BPI was detected in six of 58 TBI patients (10.3%). BPI was detected after an average 116 days from the initial injury. Three patients had lower trunk BPI and three patients had panplexopathy.
CONCLUSION
Diagnosis of BPI in patients with TBI is delayed in the acute period of injury. The clinicians should keep in mind that BPIs may occur and remain undiagnosed in patients with TBI.
目的
我们旨在调查创伤性脑损伤（TBI）患者中臂丛神经损伤（BPI）的存在情况，并提醒医生注意TBI患者中可能被忽视的BPI。
方法
本研究通过回顾性检查58例中重度TBI患者的病历，以调查TBI和BPI的共存情况。
结果
58例TBI患者中有6例检测到BPI（10.3%）。BPI在初次受伤后平均116天被检测到。3例患者为下干BPI，3例患者为全丛病变。
结论
TBI患者BPI的诊断在损伤急性期被延迟。临床医生应牢记，TBI患者可能发生BPI且未被诊断。
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