AIm: Treatment options for traumatic brachial plexus injuries include nerve grafting, or neurotization. The type of lesion and the reconstructive procedures affect functional results and postoperative pain relief. mAterIAl and methOds: A total number of twenty five patients suffering from post-traumatic brachial plexus injury were included in the study. The patients underwent exploration and pr...

The Guilllain-Barré syndrome (GBS) is an acute predominantly demyelinating polyneuropathy. In many cases GBS is preceding by infection, immunization, surgery or trauma. Although there are a few reports of GBS after head trauma, there is no report of this syndrome after brachial plexus injury. We report on a 51 years-old man who presented GBS fifteen days after a brachial plexus trauma. The poli...

Irritation of neural structures, specifically the brachial plexus outside of the cervical spine is capable of producing pain in the upper extremity. These pain patterns may be similar to pain originating from the cervical spine, presenting a diagnostic challenge. Brachial plexus block is performed at multiple levels, including interscalene, supraclavicular, infraclavicular, and axillary. Inters...

1. It is now generally accepted that time between the injury and its reconstruction is a crucial determinant of the functional result. In long-standing brachial plexus lesions, atrophy of the denervated muscles progresses until reinnervation becomes impossible or can only produce a minor, clinically unimportant result. Therefore, it is important to perform an early surgical exploration within 3...

Purpose. To examine the most prevalent risk factors found in patients with permanent obstetric brachial plexus injury (OBPI) to identify better predictors of injury. Methods. A population-based study was performed on 241 OBPI patients who underwent surgical treatment at the Texas Nerve and Paralysis Institute. Results. Shoulder dystocia (97%) was the most prevalent risk factor. We found that 80...

Controversy surrounds the aetiology of obstetric brachial plexus lesions. Most authors consider that it is caused by traction or compression of the brachial plexus during delivery. Some patients, however, present without a history of major traction during delivery, and some delivered by Caesarean section also suffer the injury. In our series of 42 infants, 28 had an Erb's palsy, and the remaini...

Brachial plexus injury is a potential complication of a brachial plexus block or vessel puncture. It results from direct needle trauma, neurotoxicity of injection agents and hematoma formation. The neurological presentation may range from minor transient pain to severe sensory disturbance or motor loss with poor recovery. The management includes conservative treatment and surgical exploration. ...

Scapulo-thoracic dissociation is an infrequent injury resulting from high energy trauma which is often associated with severe neurological and vascular injuries which may be unrecognised at the time of presentation. A 24 year-old female presented with bilateral rib fractures, pneumothorax, liver and kidney injuries following a road traffic accident. She also sustained fractures of her right sca...

We report a case of left upper trunk neuropraxia following an uneventful case of lumbar spine fixation and fusion performed in the prone position. The cause of the injury was believed to be a very tight endotracheal tube tie in addition to the patient`s head turned to one side; both caused a compression in the left supraclavicular region compressing the upper trunk of the brachial plexus. On li...

INTRODUCTION Upper trunk brachial plexus palsy can result from high-energy trauma and has never been reported following spinal manipulation. BACKGROUND The case is presented of a patient who developed an acute brachial plexus upper trunk palsy following spinal manipulative therapy. DISCUSSION Discussion is made on the incidence of complications following manipulation and recommendations to ...