Severe brachial plexus injury after retropubic radical prostatectomy: A case report.
10.4097/kjae.2012.63.1.68
- Author:
Jaegyok SONG
1
Author Information
1. Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea. drjack@nate.com
- Publication Type:Case Report
- Keywords:
Brachial plexus injury;
Head-down tilt;
Patient positioning
- MeSH:
Aged;
Arm;
Braces;
Brachial Plexus;
Electromyography;
Head-Down Tilt;
Humans;
Neural Conduction;
Neurologic Examination;
Patient Positioning;
Peripheral Nerve Injuries;
Prostatic Neoplasms;
Shoulder
- From:Korean Journal of Anesthesiology
2012;63(1):68-71
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 69-year-old man with prostate cancer underwent surgery for 16 h. Approximately 6 h after surgery, the patient developed severe pain and motor weakness in his right arm. After neurologic examinations that included a nerve conduction study and electromyography, the patient was diagnosed with a brachial plexus injury. The causes of the brachial plexus injury were thought to be abduction of both arms, direct compression of the shoulder brace, and prolonged surgery. Most of the postoperative peripheral nerve injuries due to patient position are preventable, and anesthetists and surgeons should be very careful in positioning the patient accurately.
