Atypical connections in the formation of the brachial plexus are prevalent and have been reported in different articles. The present report describes a case of variation of the median nerve observed in the Iranian male cadaver during routine trial dissection. There are three roots for median nerve. Median nerve is formed by joining two lateral and medial cords of brachial plexus. Third root ...

OBJECTIVE To identify risk factors associated with brachial plexus injury in a large population. METHODS A computerized data set containing records from hospital discharge summaries of mothers and infants and birth certificates was examined. The deliveries took place in more than 300 civilian acute care hospitals in California between January 1, 1994, and December 31, 1995. Cases of brachial ...

Although supraclavicular brachial plexus block (SCBPB) was repopularized by the introduction of ultrasound, its usefulness in shoulder surgery has not been widely reported. The objective of this study was to compare motor and sensory blockades, the incidence of side effects, and intraoperative opioid analgesic requirements between SCBPB and interscalene brachial plexus block (ISBPB) in patients...

A rare case of pediatric brachial plexus laceration is presented. A five-year-old boy who sustained a sharp laceration on his right axillary region was immediately operated. The axillary artery, radial, ulnar and musculocutaneous nerve branches of the brachial plexus, and the lateral root of the median nerve were totally lacerated. The medial root of the median nerve was partially transected. A...

OBJECTIVE The objective of this study was to calculate central motor conduction time (CMCT) of median and ulnar nerves in normal volunteers. Conduction time across the lower part of the brachial plexus was measured by using magnetic stimulation over the motor cortex and brachial plexus and recording the evoked response in hand muscles. DESIGN This descriptive study was done on 112 upper limbs...

Brachial plexus injury is a rare complication during operation and anesthesia; it can occur as a result of various mechanisms such as inappropriate positioning, over-abduction and stretching the upper limbs. Brachial plexus injury can cause the poor function of the upper limb before recovery, and sometimes serious injury is unable to completely recovered the function permanently. Here, we repor...

Supraclavicular brachial plexus block is a common anesthetic technique performed for surgery of the upper extremities. We experienced a case of acute hypercapnic respiratory distress with loss of consciousness during creation of an arteriovenous fistula under ultrasound-guided supraclavicular brachial plexus block using 30 mL of 0.75 % ropivacaine. We detected ipsilateral hemidiaphragmatic para...

Three methods of blocking the brachial plexus with a supraclavicular approach are presented. The pros and cons of using this technique, as well as its usefulness, are discussed. The four most commonly used drugs for blocks also are examined. A 270% increase in blood flow to the arm is achieved by this block but, with the addition of epinephrine, it can be increased to 430%. The permeability of ...

Brachial plexus injuries represent a complex clinical challenge from both a diagnostic and treatment standpoint. Given the potential etiologic mechanisms of injury, as well as the varied number of anatomic sites vulnerable to such injury, it is essential that a precise diagnostic approach be utilized. From a neurophysiologic perspective, the electrodiagnostic examination has been shown to be th...

We report a rare case of schwannoma of the brachial plexus presenting as an enlarging cystic mass. A 52-year-old woman was found to have a rapidly enlarging cystic lesion in the left pectoralis minor space. Surgical exploration finally found that the lesion was schwannoma originating from the fascicles of the brachial plexus. Partial removal of the fluid enabled us to dissect the mass without d...