Compressive median neuropathy caused by brachial artery pseudoaneurysm.
Brachial artery pseudoaneurysm
Nerve compression
Nerve transfer
Journal
Surgical neurology international
ISSN: 2229-5097
Titre abrégé: Surg Neurol Int
Pays: United States
ID NLM: 101535836
Informations de publication
Date de publication:
2024
2024
Historique:
received:
07
08
2023
accepted:
13
12
2023
medline:
12
2
2024
pubmed:
12
2
2024
entrez:
12
2
2024
Statut:
epublish
Résumé
Brachial artery pseudoaneurysms (PSAs) are a rare complication of trauma and medical intervention, estimated to constitute 0.3-0.7% of all PSAs. Although neurologic symptoms are common in patients undergoing hemodialysis, direct nerve compression by large PSAs is rare. We report a case of median nerve compression by a brachial artery PSA treated by PSA resection and distal nerve transfer of the extensor carpi radialis brevis nerve to the anterior interosseous nerve. This case illustrates the successful use of distal nerve transfers for the treatment of median neuropathy secondary to brachial PSA. In addition, this case highlights the importance of imaging before any exploratory nerve surgery in the setting of a mass and/or prior vascular procedure. Embarking on a nerve release/ repair surgery in the absence of a vascular surgeon would be disastrous.
Sections du résumé
Background
UNASSIGNED
Brachial artery pseudoaneurysms (PSAs) are a rare complication of trauma and medical intervention, estimated to constitute 0.3-0.7% of all PSAs. Although neurologic symptoms are common in patients undergoing hemodialysis, direct nerve compression by large PSAs is rare.
Case Description
UNASSIGNED
We report a case of median nerve compression by a brachial artery PSA treated by PSA resection and distal nerve transfer of the extensor carpi radialis brevis nerve to the anterior interosseous nerve.
Conclusion
UNASSIGNED
This case illustrates the successful use of distal nerve transfers for the treatment of median neuropathy secondary to brachial PSA. In addition, this case highlights the importance of imaging before any exploratory nerve surgery in the setting of a mass and/or prior vascular procedure. Embarking on a nerve release/ repair surgery in the absence of a vascular surgeon would be disastrous.
Identifiants
pubmed: 38344104
doi: 10.25259/SNI_665_2023
pii: 10.25259/SNI_665_2023
pmc: PMC10858754
doi:
Types de publication
Case Reports
Langues
eng
Pagination
11Informations de copyright
Copyright: © 2024 Surgical Neurology International.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
Références
Vascular. 2014 Oct;22(5):378-80
pubmed: 24347134
J Brachial Plex Peripher Nerve Inj. 2018 Sep 17;13(1):e15-e19
pubmed: 30250498
J Hand Microsurg. 2016 Aug;8(2):109-10
pubmed: 27625541
Neurosurgery. 1989 Jun;24(6):926-8
pubmed: 2747872
Clin Exp Nephrol. 2022 Jan;26(1):68-74
pubmed: 34415463
Neurosurgery. 1989 Jun;24(6):924-5
pubmed: 2747871
Trauma Case Rep. 2018 Feb 10;14:8-10
pubmed: 29644301
Semin Dial. 2010 Jul-Aug;23(4):440-4
pubmed: 20701723