J Hand Microsurg 2020; 12(03): 219-220
DOI: 10.1055/s-0039-1700372
Case Report

Bilateral Brachial Plexus Palsy in Restless Patient

Vijay A. Malshikare
1   Department of Hand and Wrist Surgery, Jehangir Hospital, Pune, Maharashtra, India
› Author Affiliations

Abstract

We present a case of bilateral infraclavicular brachial plexus palsy at terminal branching level in organophosphorus poisoning patient. The complication occurred during treatment. The patient was tied to the side railing of the bed with bandage as patient was restless. It is an acceptable practice so that the restless patient does not inflict injuries when he is restrained on the bed. Failure to recognize the significance of this will lead to patient injury.



Publication History

Article published online:
02 November 2019

© 2020. Society of Indian Hand & Microsurgeons. This article is published by Thieme.

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Antoniadis G, Kretschmer T, Pedro MT, König RW, Heinen CPG, Richter HP. Iatrogenic nerve injuries: prevalence, diagnosis and treatment. Dtsch Arztebl Int 2014; 111 (16) 273-279
  • 2 Coppieters MW, Van de Velde M, Stappaerts KH. Positioning in anesthesiology: toward a better understanding of stretch-induced perioperative neuropathies. Anesthesiology 2002; 97 (01) 75-81
  • 3 Ngamprasertwong P, Phupong V, Uerpairojkit K. Brachial plexus injury related to improper positioning during general anesthesia. J Anesth 2004; 18 (02) 132-134
  • 4 Sawyer RJ, Richmond MN, Hickey JD, Jarrratt JA. Peripheral nerve injuries associated with anaesthesia. Anaesthesia 2000; 55 (10) 980-991
  • 5 Coene LN. Mechanisms of brachial plexus lesions. Clin Neurol Neurosurg 1993; 95 (Suppl) S24-S29
  • 6 Kim DH, Murovic JA, Tiel RL, Kline DG. Infraclavicular brachial plexus stretch injury. Neurosurg Focus 2004; 16 (05) E4
  • 7 Cheney FW, Domino KB, Caplan RA, Posner KL. Nerve injury associated with anesthesia: a closed claims analysis. Anesthesiology 1999; 90 (04) 1062-1069
  • 8 Guedes-Corrêa JF, Pereira MRDC, Torrão-Junior FJL, Martins JV, Barbosa DAN. A neglected cause of iatrogenic brachial plexus injuries in psychiatric patients. Neurosurgery 2018; 82 (03) 307-311
  • 9 Wilbourn AJ. Iatrogenic nerve injuries. Neurol Clin 1998; 16 (01) 55-82
  • 10 Birch R, Bonney G, Parry CW. Iatropathic injury. In: Birch R. ed. Surgical Disorders of the Peripheral Nerves. Edinburgh: Churchill Livingstone; 1998: 293-333
  • 11 Lundborg G, Rydevik B. Effects of stretching the tibial nerve of the rabbit. A preliminary study of the intraneural circulation and the barrier function of the perineurium. J Bone Joint Surg Br 1973; 55 (02) 390-401