1. Median nerve neuropraxia by a large false brachial artery aneurysm.
- Author
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Lijftogt N, Cancrinus E, Hoogervorst EL, van de Mortel RH, and de Vries JP
- Subjects
- Aged, Aneurysm, False diagnosis, Aneurysm, False surgery, Arm blood supply, Arm innervation, Diagnosis, Differential, Electromyography, Humans, Male, Median Neuropathy diagnosis, Median Neuropathy surgery, Nerve Compression Syndromes diagnosis, Nerve Compression Syndromes surgery, Recovery of Function, Ultrasonography, Doppler, Duplex, Aneurysm, False complications, Brachial Artery pathology, Median Neuropathy etiology, Nerve Compression Syndromes etiology
- Abstract
Peripheral nerve compression is a rare complication of an iatrogenic false brachial artery aneurysm. We present a 72-year-old patient with median nerve compression due to a false brachial artery aneurysm after removal of an arterial catheter. Surgical exclusion of the false aneurysm was performed in order to release traction of the median nerve. At 3-month assessment, moderate hand recovery in function and sensibility was noted. In the case of neuropraxia of the upper extremity, following a history of hospital stay and arterial lining or catheterization, compression due to pseudoaneurysm should be considered a probable cause directly at presentation. Early recognition and treatment is essential to avoid permanent neurological deficit., (© The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.)
- Published
- 2014
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