Clinical Pain 2019;18(1):44-47

Brachial Plexus Injury after Deep Sleep

Jung Min KWAK 1 ; Jun Ho CHOI ; Dong Yoon PARK

Affiliations

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Keywords

Brachial plexus injury; Sleep; Electrodiagnosis; Ultrasound

Country

Republic 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.