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 |
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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. |
doi_str_mv | 10.1227/00006123-199406000-00023 |
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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.</description><identifier>ISSN: 0148-396X</identifier><identifier>DOI: 10.1227/00006123-199406000-00023</identifier><identifier>PMID: 8084397</identifier><language>eng</language><publisher>United States</publisher><subject>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</subject><ispartof>Neurosurgery, 1994-06, Vol.34 (6), p.1084-1086</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c255t-dc793416d7e87b36876f80f656586003eff8e7a494037e70d5a2bc02a05fa78d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8084397$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamagami, T</creatorcontrib><creatorcontrib>Handa, H</creatorcontrib><creatorcontrib>Higashi, K</creatorcontrib><creatorcontrib>Kaji, R</creatorcontrib><title>Brachial plexus injury with cough attack: case report</title><title>Neurosurgery</title><addtitle>Neurosurgery</addtitle><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.</description><subject>Brachial Plexus - injuries</subject><subject>Brachial Plexus - physiopathology</subject><subject>Brachial Plexus - surgery</subject><subject>Cough - physiopathology</subject><subject>Cough - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neurologic Examination</subject><subject>Phrenic Nerve - physiopathology</subject><subject>Phrenic Nerve - surgery</subject><subject>Postoperative Complications - physiopathology</subject><subject>Postoperative Complications - surgery</subject><subject>Range of Motion, Articular - physiology</subject><subject>Recurrence</subject><subject>Synaptic Transmission - physiology</subject><subject>Thoracic Outlet Syndrome - physiopathology</subject><subject>Thoracic Outlet Syndrome - surgery</subject><subject>Tissue Adhesions</subject><issn>0148-396X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1PwzAMhnMAjTH4CUg5cSvko4lTbjAxQJrEBSRuUZYmrKNdS9IK9u8JrMySZVl6bb9-EMKUXFHG4JqkkJTxjBZFTmTqspSMH6EpobnKeCHfTtBpjBtCqMxBTdBEEZXzAqZI3AVj15WpcVe77yHiarsZwg5_Vf0a23Z4X2PT98Z-3GBrosPBdW3oz9CxN3V052OdodfF_cv8MVs-PzzNb5eZZUL0WWmh4DmVJTgFKy4VSK-Il0IKlXxy571yYPJkm4MDUgrDVpYwQ4Q3oEo-Q5f7vV1oPwcXe91U0bq6NlvXDlGDhPQqyCRUe6ENbYzBed2FqjFhpynRv5T0PyV9oKT_KKXRi_HGsGpceRgcEfEf7jdjNw</recordid><startdate>19940601</startdate><enddate>19940601</enddate><creator>Yamagami, T</creator><creator>Handa, H</creator><creator>Higashi, K</creator><creator>Kaji, R</creator><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>7X8</scope></search><sort><creationdate>19940601</creationdate><title>Brachial plexus injury with cough attack: case report</title><author>Yamagami, T ; Handa, H ; Higashi, K ; Kaji, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c255t-dc793416d7e87b36876f80f656586003eff8e7a494037e70d5a2bc02a05fa78d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Brachial Plexus - injuries</topic><topic>Brachial Plexus - physiopathology</topic><topic>Brachial Plexus - surgery</topic><topic>Cough - physiopathology</topic><topic>Cough - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neurologic Examination</topic><topic>Phrenic Nerve - physiopathology</topic><topic>Phrenic Nerve - surgery</topic><topic>Postoperative Complications - physiopathology</topic><topic>Postoperative Complications - surgery</topic><topic>Range of Motion, Articular - physiology</topic><topic>Recurrence</topic><topic>Synaptic Transmission - physiology</topic><topic>Thoracic Outlet Syndrome - physiopathology</topic><topic>Thoracic Outlet Syndrome - surgery</topic><topic>Tissue Adhesions</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamagami, T</creatorcontrib><creatorcontrib>Handa, H</creatorcontrib><creatorcontrib>Higashi, K</creatorcontrib><creatorcontrib>Kaji, R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamagami, T</au><au>Handa, H</au><au>Higashi, K</au><au>Kaji, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Brachial plexus injury with cough attack: case report</atitle><jtitle>Neurosurgery</jtitle><addtitle>Neurosurgery</addtitle><date>1994-06-01</date><risdate>1994</risdate><volume>34</volume><issue>6</issue><spage>1084</spage><epage>1086</epage><pages>1084-1086</pages><issn>0148-396X</issn><abstract>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.</abstract><cop>United States</cop><pmid>8084397</pmid><doi>10.1227/00006123-199406000-00023</doi><tpages>3</tpages></addata></record> |
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source | Journals@Ovid Ovid Autoload; MEDLINE |
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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