Emine ÖZYUVACI, ABDULLAH TOLGA ŞİTİLCİ, Anupama WADHWA

Musculocutaneous neuropathy after anaesthesia for thyroid surgery: Acase report

Postoperatif muskulokutanöz sinir hasarı nadir bir sorun ve komplikasyondur. Bildirilen vakalarda bu sinirin hasarı sonucunda, nö - ropatik ağrı olmaksızın bisesps ve brakialis kaslarında güç kaybı olduğu yazılmıştır. Brakiyal pleksusun, lateral kutanöz siniri gibi ter- minal dallarından birinde hasar oluştuğu zaman majör belirti ağrı olup; bu ağrı ön kolun radial yüzüne doğru yayılır. Literatürde izo - le muskulokutanöz sinir hasarılarının, tekrarlayan mikrotravmalar ve sinirin indirekt veya direkt travmaya maruz kalması nedeniy- le oluştuğu bildirilmiştir. İzole muskulokutanöz sinir hasarı ayrıca, ön kolun uzun süre boyunca ekstansiyonda kalmasına bağlı da olu- şabilir.

Tiroid cerrahisi anestezisi sonrasında gelişen muskulokutanöz sinir nöropatisi: Olgu sunumu

Postoperative isolated injury of the musculocutaneous nerve is a rare disorder and complication. Reported cases are claimed to present with loss of biceps and brachialis power without neuropathic pain. When injury occurs to one of the terminal branches of the brachial plexus, the lateral cutaneous nerve of the forearm, pain is the major symptom and it typically radiates along the radial aspect of the forearm. In the literature, isolated lesions of the musculocutaneous nerve have been attributed to repeated microtrauma, indirect trauma or direct trauma to the nerve. It may also occur due to strenuous extension of the forearm for prolonged periods.

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