Báo cáo y học: "Intraoperative radial nerve injury during coronary artery surgery – report of two cases"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí yhọc Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Intraoperative radial nerve injury during coronary artery surgery – report of two cases. | Journal of Brachial Plexus and Peripheral Nerve Injury BioMed Central Open Access Case report Intraoperative radial nerve injury during coronary artery surgery -report of two cases Marianna Papadopoulou Konstantinos Spengos Apostolos Papapostolou Georgios Tsivgoulis and Nikolaos Karandreas Address University of Athens School of Medicine Department of Neurology Eginition Hospital Athens Greece Email Marianna Papadopoulou - marpapgr@ Konstantinos Spengos - spengos@ Apostolos Papapostolou - apapas55@ Georgios Tsivgoulis - tsivgoulisgiorg@ Nikolaos Karandreas - nekaran@ Corresponding author Published 05 December 2006 Received 30 July 2006 Journal of Brachial Plexus and Peripheral Nerve Injury 2006 1 7 doi 86 1749-7221-1- Accepted 05 December 2006 7 This article is available from http content 1 1 7 2006 Papadopoulou et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Peripheral nerve injury and brachial plexopathy are known though rare complications of coronary artery surgery. The ulnar nerve is most frequently affected whereas radial nerve lesions are much less common accounting for only 3 of such intraoperative injuries. Case presentations Two 52- and 50-year-old men underwent coronary artery surgery. On the first postoperative day they both complained of wrist drop on the left. Neurological examination revealed a paresis of the wrist and finger extensor muscles 0 5 and the brachioradialis 4 5 with hypoaesthesia on the radial aspect of the dorsum of the left hand. Both biceps and triceps reflexes were normoactive whereas the brachioradialis reflex was diminished on the left. Muscles innervated from the median and ulnar nerve as well as all .

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