压迫诱发的可逆性臂丛神经病:神经科急诊方法

Handan Uzunçakmak Uyanık, Refah Sayın
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引用次数: 0

摘要

臂丛神经损伤是围手术期第二常见的周围神经损伤。位置不正是造成这些损伤的一个重要诱因。此外,包括他克莫司在内的一些药物也容易导致周围神经病变。在此,我们介绍了一位因肝移植而接受他克莫司治疗五年并出现压迫诱发的可逆性臂丛神经病的患者在最初 48 小时内的肌电图(EMG)检查结果。通过这个病例,我们强调了臂丛神经损伤并不一定会导致轴索受累,并讨论了早期神经电生理检查中可能遇到的发现。
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Compression-induced reversible brachial plexopathy: Urgent neurological approach.

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.

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