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创伤性双侧臂丛神经损伤

Traumatic Bilateral Brachial Plexus Injury.

作者信息

Kokkalis Zinon, Papagiannis Spyridon, Kouzelis Antonis, Diamantakis George, Panagopoulos Andreas

机构信息

Orthopaedics and Traumatology, Patras University Hospital, Patras, GRC.

出版信息

Cureus. 2022 Apr 30;14(4):e24626. doi: 10.7759/cureus.24626. eCollection 2022 Apr.

Abstract

Traumatic brachial plexus injuries are serious, life-changing injuries that are becoming more common worldwide. A thorough physical examination, as well as radiologic and electrodiagnostic tests, are all part of the initial evaluation. Parameters such as injury patterns, the timing of intervention, patients' expectations, and pre-injury functional level should always be considered. A bilateral brachial plexus injury is a very uncommon occurrence. To our knowledge, only one case of a bilateral brachial plexus injury associated with trauma has been published in recent literature. We present a rare case of a 19-year-old man who sustained a bilateral brachial plexus injury after a motorbike accident. The patient underwent exploration of the left brachial plexus and a modified Oberlin procedure on his left arm. The right plexus injury was managed conservatively. After a follow-up period of 12 months, the patient completely returned to his previous functional level.

摘要

创伤性臂丛神经损伤是严重的、改变生活的损伤,在全球范围内正变得越来越常见。全面的体格检查以及放射学和电诊断测试都是初始评估的一部分。诸如损伤模式、干预时机、患者期望和伤前功能水平等参数应始终予以考虑。双侧臂丛神经损伤是非常罕见的情况。据我们所知,近期文献中仅发表过一例与创伤相关的双侧臂丛神经损伤病例。我们报告一例罕见病例,一名19岁男性在摩托车事故后遭受双侧臂丛神经损伤。患者接受了左侧臂丛神经探查及左臂改良奥伯林手术。右侧神经丛损伤采用保守治疗。经过12个月的随访期,患者完全恢复到了之前的功能水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1c7/9150921/1a93add490f0/cureus-0014-00000024626-i01.jpg

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