Graham J G, Pye I F, McQueen I N
J Neurol Neurosurg Psychiatry. 1981 Jul;44(7):621-5. doi: 10.1136/jnnp.44.7.621.
Five patients are described with brachial plexus injuries complicating median sternotomy for cardiac surgery. The lower roots (medial cord) of the plexus were most affected and in some cases the lesions were bilateral. Pain was a prominent feature and although motor and sensory symptoms both occurred, motor signs were more prominent than objective sensory loss. Recovery was protracted and sometimes incomplete. Traction or compression of the plexus (or both) are the major possible mechanisms of injury; our experience and that of others suggests that traction is the more probable mechanism.
本文描述了5例因心脏手术正中胸骨切开术并发臂丛神经损伤的患者。臂丛神经的下根（内侧束）受影响最严重，在某些病例中，损伤为双侧性。疼痛是一个突出的症状，虽然运动和感觉症状均有出现，但运动体征比客观感觉丧失更为明显。恢复过程漫长，有时还不完全。臂丛神经的牵拉或受压（或两者兼有）是主要的可能损伤机制；我们以及其他人的经验表明，牵拉是更有可能的机制。
