Brachial plexus injury with cough attack: case report

Cough attacks elicited by movement of the neck and right arm are reported in a patient who had sustained several shoulder injuries and who had an anterior scalenectomy. The coughing was accompanied by weakness in the right upper limb. At exploration, the phrenic nerve was found adhered to the brachi...

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Veröffentlicht in:Neurosurgery 1994-06, Vol.34 (6), p.1084-1086
Hauptverfasser: Yamagami, T, Handa, H, Higashi, K, Kaji, R
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creator Yamagami, T
Handa, H
Higashi, K
Kaji, R
description Cough attacks elicited by movement of the neck and right arm are reported in a patient who had sustained several shoulder injuries and who had an anterior scalenectomy. The coughing was accompanied by weakness in the right upper limb. At exploration, the phrenic nerve was found adhered to the brachial plexus. The cough attacks disappeared, and the weakness of the right upper limb improved somewhat after lysis of the adhesions between the phrenic nerve and the plexus and after external neurolysis of the upper, middle, and lower trunks. Postoperatively, the patient could elevate his right arm without coughing.
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subjects Brachial Plexus - injuries
Brachial Plexus - physiopathology
Brachial Plexus - surgery
Cough - physiopathology
Cough - surgery
Humans
Male
Middle Aged
Neurologic Examination
Phrenic Nerve - physiopathology
Phrenic Nerve - surgery
Postoperative Complications - physiopathology
Postoperative Complications - surgery
Range of Motion, Articular - physiology
Recurrence
Synaptic Transmission - physiology
Thoracic Outlet Syndrome - physiopathology
Thoracic Outlet Syndrome - surgery
Tissue Adhesions
title Brachial plexus injury with cough attack: case report
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