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An Unusual Compressive Neuropathy

An Unusual Compressive Neuropathy Abstract Unfortunately, compressive neuropathies involving both upper and lower limbs still occur as a result of positioning during surgery. These cases are both underdocumented and frequently denied (J.F.A., unpublished data, 1980). We describe a patient with such a compressive neuropathy that resulted from unusual positioning during surgery. REPORT OF A CASE A 60-year-old, right-handed woman underwent a 4.5-hour laparotomy. To gain better abdominal exposure, her right forearm was suspended horizontally from the anesthesia screen. Postoperatively, she was found clinically and electromyographically to have a right axillary neuropathy with deltoid muscle paralysis.The cause of the compressive neuropathy was probably related to a combination of two factors: position and time. The patient's right forearm was suspended horizontally from the anesthesia screen above her neck with the right arm elevated to 90° for 4.5 hours. I speculate that with the arm in this position for the extended period of time, the right axillary References 1. Dyck PJ, Low PA, Stevens JC: Diseases of peripheral nerves , in Baker AB, Baker LH (eds): Clinical Neurology . Hagerstown, Md, Harper & Row Publishers Inc, 1982, vol 3, p 39. 2. Asbury AK, Johnson PC: Pathology of Peripheral Nerve . Philadelphia, WB Saunders Co, 1978. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

An Unusual Compressive Neuropathy

Aita, John F.
Archives of Neurology , Volume 41 (3) – Mar 1, 1984
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An Unusual Compressive Neuropathy

Abstract

Abstract Unfortunately, compressive neuropathies involving both upper and lower limbs still occur as a result of positioning during surgery. These cases are both underdocumented and frequently denied (J.F.A., unpublished data, 1980). We describe a patient with such a compressive neuropathy that resulted from unusual positioning during surgery. REPORT OF A CASE A 60-year-old, right-handed woman underwent a 4.5-hour laparotomy. To gain better abdominal exposure, her right forearm was suspended...
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References (2)

Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1984.04050150123032
Publisher site
See Article on Publisher Site

Abstract

Abstract Unfortunately, compressive neuropathies involving both upper and lower limbs still occur as a result of positioning during surgery. These cases are both underdocumented and frequently denied (J.F.A., unpublished data, 1980). We describe a patient with such a compressive neuropathy that resulted from unusual positioning during surgery. REPORT OF A CASE A 60-year-old, right-handed woman underwent a 4.5-hour laparotomy. To gain better abdominal exposure, her right forearm was suspended horizontally from the anesthesia screen. Postoperatively, she was found clinically and electromyographically to have a right axillary neuropathy with deltoid muscle paralysis.The cause of the compressive neuropathy was probably related to a combination of two factors: position and time. The patient's right forearm was suspended horizontally from the anesthesia screen above her neck with the right arm elevated to 90° for 4.5 hours. I speculate that with the arm in this position for the extended period of time, the right axillary References 1. Dyck PJ, Low PA, Stevens JC: Diseases of peripheral nerves , in Baker AB, Baker LH (eds): Clinical Neurology . Hagerstown, Md, Harper & Row Publishers Inc, 1982, vol 3, p 39. 2. Asbury AK, Johnson PC: Pathology of Peripheral Nerve . Philadelphia, WB Saunders Co, 1978.

Journal

Archives of Neurology – American Medical Association

Published: Mar 1, 1984

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