Infraclavicular brachial plexus injury following axillary regional block
Infraclavicular brachial plexopathy is a potential complication of axillary regional block. We retrospectively reviewed 13 such injuries and found the median nerve most often affected, followed by combined median and ulnar neuropathies, and then by various combinations involving the median, ulnar, r...
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| Veröffentlicht in: | Muscle & nerve 2004-07, Vol.30 (1), p.44-48 |
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| description | Infraclavicular brachial plexopathy is a potential complication of axillary regional block. We retrospectively reviewed 13 such injuries and found the median nerve most often affected, followed by combined median and ulnar neuropathies, and then by various combinations involving the median, ulnar, radial, and musculocutaneous nerves. All were axon‐loss in type and most were severe in degree electrophysiologically. The clinical and electrodiagnostic features of these injuries are strikingly similar to those sustained after axillary arteriography, which has been associated with the medial brachial fascial compartment (MBFC) syndrome. This syndrome is characterized by the evolution of neurologic deficits and pain following hematoma formation within a compartment of the upper arm. Thus, we believe that this mechanism underlies most nerve injuries that result from axillary angiography or axillary regional block. This has important treatment implications, as timely surgical intervention may lead to improved outcome. Muscle Nerve 30: 44–48, 2004 |
| doi_str_mv | 10.1002/mus.20066 |
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We retrospectively reviewed 13 such injuries and found the median nerve most often affected, followed by combined median and ulnar neuropathies, and then by various combinations involving the median, ulnar, radial, and musculocutaneous nerves. All were axon‐loss in type and most were severe in degree electrophysiologically. The clinical and electrodiagnostic features of these injuries are strikingly similar to those sustained after axillary arteriography, which has been associated with the medial brachial fascial compartment (MBFC) syndrome. This syndrome is characterized by the evolution of neurologic deficits and pain following hematoma formation within a compartment of the upper arm. Thus, we believe that this mechanism underlies most nerve injuries that result from axillary angiography or axillary regional block. This has important treatment implications, as timely surgical intervention may lead to improved outcome. 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Neuromuscular diseases ; Electrodiagnosis ; Fascia ; Female ; Humans ; iatrogenic injury ; Male ; Median Nerve - injuries ; Medical sciences ; Nerve Block - adverse effects ; Nervous system (semeiology, syndromes) ; Neurology ; peripheral nerves ; plexopathy ; Retrospective Studies</subject><ispartof>Muscle & nerve, 2004-07, Vol.30 (1), p.44-48</ispartof><rights>Copyright © 2004 Wiley Periodicals, Inc.</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4206-df7417387923c73475dd43fb6f08ee809d792494f77e1c9c37f702474b428e0d3</citedby><cites>FETCH-LOGICAL-c4206-df7417387923c73475dd43fb6f08ee809d792494f77e1c9c37f702474b428e0d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fmus.20066$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fmus.20066$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27922,27923,45572,45573</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15915656$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15221877$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tsao, Bryan E.</creatorcontrib><creatorcontrib>Wilbourn, Asa J.</creatorcontrib><title>Infraclavicular brachial plexus injury following axillary regional block</title><title>Muscle & nerve</title><addtitle>Muscle Nerve</addtitle><description>Infraclavicular brachial plexopathy is a potential complication of axillary regional block. We retrospectively reviewed 13 such injuries and found the median nerve most often affected, followed by combined median and ulnar neuropathies, and then by various combinations involving the median, ulnar, radial, and musculocutaneous nerves. All were axon‐loss in type and most were severe in degree electrophysiologically. The clinical and electrodiagnostic features of these injuries are strikingly similar to those sustained after axillary arteriography, which has been associated with the medial brachial fascial compartment (MBFC) syndrome. This syndrome is characterized by the evolution of neurologic deficits and pain following hematoma formation within a compartment of the upper arm. Thus, we believe that this mechanism underlies most nerve injuries that result from axillary angiography or axillary regional block. This has important treatment implications, as timely surgical intervention may lead to improved outcome. Muscle Nerve 30: 44–48, 2004</description><subject>Axilla</subject><subject>axillary block</subject><subject>Biological and medical sciences</subject><subject>brachial plexus</subject><subject>Brachial Plexus - injuries</subject><subject>Brachial Plexus Neuropathies - diagnosis</subject><subject>Brachial Plexus Neuropathies - etiology</subject><subject>Clavicle</subject><subject>Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction</subject><subject>Diseases of striated muscles. Neuromuscular diseases</subject><subject>Electrodiagnosis</subject><subject>Fascia</subject><subject>Female</subject><subject>Humans</subject><subject>iatrogenic injury</subject><subject>Male</subject><subject>Median Nerve - injuries</subject><subject>Medical sciences</subject><subject>Nerve Block - adverse effects</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>peripheral nerves</subject><subject>plexopathy</subject><subject>Retrospective Studies</subject><issn>0148-639X</issn><issn>1097-4598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0Mtu1DAUBmALgei0ZcELoGyoxCLt8SW-LNGIdioKqGIq2FmOYxe3TjLYDZ15-7rMcNkgvLEsf-cc-0foJYZjDEBO-ikfEwDOn6AZBiVq1ij5FM0AM1lzqr7uof2cbwAASy6eoz3cEIKlEDO0OB98MjaaH8FO0aSqLadvwcRqFd16ylUYbqa0qfwY43gfhuvKrEMscFMldx3Gocg2jvb2ED3zJmb3YrcfoKvTd8v5or74dHY-f3tRW0aA150XDAsqhSLUCspE03WM-pZ7kM5JUF25YYp5IRy2ylLhBRAmWMuIdNDRA3S07btK4_fJ5Tvdh2xdedLgxilrXhZpqPwvJCBVIxUr8M0W2jTmnJzXqxT68kONQT_mq_ufvORb7Ktd06ntXfdH7gIt4PUOmGxNLNkONuS_nMINbx4bnWzdfYhu8--J-sPV51-j621FyHdu_bvCpFvNBRWN_vLxTKvl5RIW7-ca6ANKXqBM</recordid><startdate>200407</startdate><enddate>200407</enddate><creator>Tsao, Bryan E.</creator><creator>Wilbourn, Asa J.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>200407</creationdate><title>Infraclavicular brachial plexus injury following axillary regional block</title><author>Tsao, Bryan E. ; Wilbourn, Asa J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4206-df7417387923c73475dd43fb6f08ee809d792494f77e1c9c37f702474b428e0d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Axilla</topic><topic>axillary block</topic><topic>Biological and medical sciences</topic><topic>brachial plexus</topic><topic>Brachial Plexus - injuries</topic><topic>Brachial Plexus Neuropathies - diagnosis</topic><topic>Brachial Plexus Neuropathies - etiology</topic><topic>Clavicle</topic><topic>Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction</topic><topic>Diseases of striated muscles. Neuromuscular diseases</topic><topic>Electrodiagnosis</topic><topic>Fascia</topic><topic>Female</topic><topic>Humans</topic><topic>iatrogenic injury</topic><topic>Male</topic><topic>Median Nerve - injuries</topic><topic>Medical sciences</topic><topic>Nerve Block - adverse effects</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>peripheral nerves</topic><topic>plexopathy</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tsao, Bryan E.</creatorcontrib><creatorcontrib>Wilbourn, Asa J.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Muscle & nerve</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tsao, Bryan E.</au><au>Wilbourn, Asa J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Infraclavicular brachial plexus injury following axillary regional block</atitle><jtitle>Muscle & nerve</jtitle><addtitle>Muscle Nerve</addtitle><date>2004-07</date><risdate>2004</risdate><volume>30</volume><issue>1</issue><spage>44</spage><epage>48</epage><pages>44-48</pages><issn>0148-639X</issn><eissn>1097-4598</eissn><coden>MUNEDE</coden><abstract>Infraclavicular brachial plexopathy is a potential complication of axillary regional block. We retrospectively reviewed 13 such injuries and found the median nerve most often affected, followed by combined median and ulnar neuropathies, and then by various combinations involving the median, ulnar, radial, and musculocutaneous nerves. All were axon‐loss in type and most were severe in degree electrophysiologically. The clinical and electrodiagnostic features of these injuries are strikingly similar to those sustained after axillary arteriography, which has been associated with the medial brachial fascial compartment (MBFC) syndrome. This syndrome is characterized by the evolution of neurologic deficits and pain following hematoma formation within a compartment of the upper arm. Thus, we believe that this mechanism underlies most nerve injuries that result from axillary angiography or axillary regional block. This has important treatment implications, as timely surgical intervention may lead to improved outcome. Muscle Nerve 30: 44–48, 2004</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>15221877</pmid><doi>10.1002/mus.20066</doi><tpages>5</tpages></addata></record> |
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| subjects | Axilla axillary block Biological and medical sciences brachial plexus Brachial Plexus - injuries Brachial Plexus Neuropathies - diagnosis Brachial Plexus Neuropathies - etiology Clavicle Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction Diseases of striated muscles. Neuromuscular diseases Electrodiagnosis Fascia Female Humans iatrogenic injury Male Median Nerve - injuries Medical sciences Nerve Block - adverse effects Nervous system (semeiology, syndromes) Neurology peripheral nerves plexopathy Retrospective Studies |
| title | Infraclavicular brachial plexus injury following axillary regional block |
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