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腋动脉造影术后臂丛神经损伤。病例报告及文献复习。

Brachial plexus injury following axillary arteriography. Case report and review of the literature.

作者信息

O'Keefe D M

出版信息

J Neurosurg. 1980 Dec;53(6):853-7. doi: 10.3171/jns.1980.53.6.0853.

DOI:10.3171/jns.1980.53.6.0853
PMID:7441349
Abstract

A case of brachial plexus injury following axillary arteriography is reported. Electrodiagnostic studies localized the lesion to the region of the puncture site. Review of the literature indicates that neural injury is due to a localized hematoma or pseudoaneurysm at the site of arterial puncture. Surgical decompression of the brachial plexus within 24 hours of the onset of motor dysfunction results in a much improved prognosis. Clinical findings that help to differentiate between postoperative traction injury and brachial plexus injury following axillary arteriography are discussed.

摘要

报告了一例腋动脉造影术后臂丛神经损伤的病例。电诊断研究将病变定位在穿刺部位区域。文献回顾表明,神经损伤是由于动脉穿刺部位的局部血肿或假性动脉瘤所致。在运动功能障碍发作后24小时内对臂丛神经进行手术减压可使预后得到显著改善。文中讨论了有助于区分术后牵拉伤和腋动脉造影术后臂丛神经损伤的临床发现。

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