Beware the painful nerve palsy; neurostenalgia, a diagnosis not to be missed
نویسندگان
چکیده
We present a case of painful radial nerve palsy following application of a humeral lengthening frame. At re-operation, the radial nerve was found to be compressed against a distal pin. This was re-sited providing immediate pain relief and a gradual resolution of the radial nerve palsy. Pain in association with a nerve palsy should alert the clinician to the possibility of nerve compression that may benefit from urgent decompression.
منابع مشابه
Severe, Persistent, Painful Neuropathy Relieved Immediately After Surgical Release: Case of Neurostenalgia of the Radial Nerve
Neurostenalgia is a neuropathic pain that results from continuing irritation of an anatomically intact nerve by a noxious agent. The pain resolves promptly after surgical release of the nerve. The authors report a case of neurostenalgia of the radial nerve in which the posterior interosseous branch was compressed at the arcade of Frohse, presenting with severe arm and elbow pain. The pain was i...
متن کامل[Painful incomplete third-nerve palsy caused by an internal carotid-communicating posterior artery aneurysm].
CLINICAL CASE A 38-year-old woman presented acute-onset, painful incomplete third-nerve palsy caused by an internal carotid-posterior communicating artery (IC-PC) aneurysm. We describe the differential diagnosis with Tolosa-Hunt syndrome and the results after endovascular treatment. DISCUSSION The presence of pupil-sparing third-nerve palsy may not exclude the presence of an IC-PC aneurysm an...
متن کاملPosterior-draining dural carotid cavernous fistulae: a possible cause of computed tomographic angiography negative isolated third nerve palsy
Computed tomographic angiography (CTA) is a well-established non-invasive investigation for this neurological presentation to exclude intracranial aneurysms. However, dural arteriovenous fistulae with anterograde venous drainage only can be missed by CTA. Here we reported two patients with painful complete third nerve palsy and dural carotid cavernous fistulae with anterograde venous drainage o...
متن کاملP148: Facial Nerve Paralysis Secondary to Odontogenic Infection
Peripheral facial nerve paralysis is the most common form of motor cranial neuropathy. Several factors can cause Bell’s palsy such as vascular ischemia, intracranial lesions, iatrogenic damage, etc. Treatment relies on diagnosing the causing factor, varying from steroids to surgical techniques. Since there has been but few reports of facial nerve paralysis caused by dental infection, odon...
متن کاملLow-energy arterial injury at the shoulder with progressive or delayed nerve palsy.
We describe 20 patients, aged between 43 and 88 years, with delayed nerve palsy or deepening of an initial palsy caused by arterial injury from low-energy injuries to the shoulder. The onset of palsy ranged from immediately after the injury to four months later. There was progression in all the patients with an initial partial nerve palsy. Pain was severe in 18 patients, in 16 of whom it presen...
متن کامل