Brachial plexus injury (BPI) is a severe peripheral nerve injury affecting upper extremities, causing functional damage and physical disability. The most common cause of adult BPI is a traffic accident, and the incidence has steadily increased since the 1980s. BPIs can be divided into three types; preganglionic lesion, postganglionic lesion, and a combination of both. Whether the continuation o...

Valproic acid has been shown to exert neuroprotective effects and promote neurite outgrowth in several peripheral nerve injury models. However, whether valproic acid can exert its beneficial effect on neurons after brachial plexus avulsion injury is currently unknown. In this study, brachial plexus root avulsion models, established in Wistar rats, were administered daily with valproic acid diss...

Brachial plexus lesions most often occur in multiple trauma. We report a case of 37-year-old patient who presented an upper left limb total sensitivomotor deficit and amyotrophy after cervical Cervical magnetic resonance imaging (MRI) was performed. It noted pseudomeningoceles at the levels C6-C7, C7-D1, D1-D2 T1 hyposignal , T2 STIR hypersignal not enhanced by injection Gadolinium extending fo...

This presentation will summarize some of the controversies I found treating these devastating injuries. The brachial plexus injuries are amongst the most challenging cases that a hand surgeon can face in his career. The normal variations of the brachial plexus anatomy, the complexity of the injured poli-trauma patients and the current standard algorithms of treatment can be questioned in light ...