Brachial Plexus Injury after Deep Sleep
- Author:
Jung Min KWAK
1
;
Jun Ho CHOI
;
Dong Yoon PARK
Author Information
1. Department of Physical Medicine and Rehabilitation, Korea University Guro Hospital, Seoul, Korea. dyfree@naver.com
- Publication Type:Case Report
- Keywords:
Brachial plexus injury;
Sleep;
Electrodiagnosis;
Ultrasound
- MeSH:
Accidental Falls;
Aged;
Brachial Plexus;
Deception;
Drinking;
Electrodiagnosis;
Humans;
Male;
Median Nerve;
Neurologic Manifestations;
Prednisolone;
Ultrasonography
- From:
Clinical Pain
2019;18(1):44-47
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Lying on the side while falling asleep deeply after drinking or taking a sleeping pill can cause compressive neuropathy. We report a 70-year-old male patient of medial cord of left brachial plexus injury (BPI) after deep sleep. The mechanism of the injury might be compression and stretching of brachial plexus. The electrodiagnostic study was performed and the medial cord lesion of BPI was suggested. The ultrasonography image of compression site revealed the nerve swelling of medial cord of brachial plexus and median nerve at the mid-arm level. Pharmacologic treatment including oral prednisolone and exercise training were prescribed. On 6 months after initial visit, neurologic symptom and pain were improved but mild sequelae was remained.
