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压迫性臂丛神经病:紧急神经处理方法。

Compression-induced reversible brachial plexopathy: Urgent neurological approach.

机构信息

Ufuk University, Faculty of Medicine, Department of Neurology, Ankara-Türkiye.

出版信息

Ulus Travma Acil Cerrahi Derg. 2024 Nov;30(11):842-844. doi: 10.14744/tjtes.2024.26254.

Abstract

Brachial plexus injuries are the second most common perioperative peripheral nerve injuries. Malposition is a significant predisposing factor to these injuries. Additionally, some drugs, including tacrolimus, are known to predispose individuals to peripheral neuropathy. Herein, we present the electroneuromyography (EMG) findings within the first 48 hours for a patient who has been under tacrolimus treatment for five years due to liver transplantation and developed compression-induced reversible brachial plexopathy. Through this case, we highlighted that brachial plexus injury may not always result in axonal involvement and discussed the findings that may be encountered in early neurophysiological examinations.

摘要

臂丛神经损伤是第二大常见的围手术期周围神经损伤。位置不当是导致这些损伤的一个重要因素。此外,一些药物,包括他克莫司,已知会使个体易患周围神经病。本文介绍了一位患者的电肌电图(EMG)结果,该患者因肝移植而接受他克莫司治疗已有五年,出现了压迫性、可复发性臂丛神经病。通过这个病例,我们强调了臂丛神经损伤并不总是导致轴突受累,并讨论了在早期神经生理检查中可能遇到的发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f339/11843383/30a6369e20d9/TJTES-30-842-g001.jpg

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