Patel Hejal, Abedi Maleeha, Abedi Afrah, Patel Twinkle
Medicine, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
Geriatric Medicine, Loretto Health and Rehabilitation, Syracuse, USA.
Cureus. 2024 Jul 10;16(7):e64226. doi: 10.7759/cureus.64226. eCollection 2024 Jul.
Brachial plexus palsy is a complex neuropathy associated with traumatic injuries, inflammatory processes, and tumors. In this report, we present an unusual case of brachial plexus palsy in a 72-year-old man with a history of chronic alcohol abuse. The patient presented to the emergency room with left arm weakness following a fall under the influence of alcohol that resulted in prolonged immobilization. An initial neurologic exam identified paralysis, numbness, and pain in the left upper extremity; however, further studies confirmed the absence of acute fractures or evidence of compartment syndrome. This case highlights the potential for alcohol intoxication and prolonged immobilization, in the absence of traumatic injury, as a contributing cause of brachial plexus palsy. Furthermore, this case emphasizes the importance of considering alternative causes of brachial plexus injury for prompt diagnosis and treatment.
臂丛神经麻痹是一种与创伤性损伤、炎症过程和肿瘤相关的复杂神经病变。在本报告中，我们呈现了一例不同寻常的臂丛神经麻痹病例，患者为一名72岁男性，有慢性酒精滥用史。该患者在酒精影响下摔倒后出现长时间固定不动，随后因左臂无力被送往急诊室。初步神经系统检查发现左上肢麻痹、麻木和疼痛；然而，进一步检查证实没有急性骨折或骨筋膜室综合征的迹象。该病例凸显了在无创伤性损伤情况下，酒精中毒和长时间固定不动作为臂丛神经麻痹促成原因的可能性。此外，该病例强调了考虑臂丛神经损伤的其他原因以进行及时诊断和治疗的重要性。
