Unilateral brachial plexus injury as a complication of thoracoscopic sympathectomy for hyperhidrosis: a case report.

Abstract:

:Unilateral brachial plexus injury is a rare complication of thoracoscopic sympathectomy, which is generally considered to be a simple and safe procedure. We report on a 26-year-old man who developed weakness and numbness of the right arm after thoracoscopic sympathectomy for hyperhidrosis. Electromyographic study revealed evidence of denervation in the upper trunk of the right brachial plexus. A nerve conduction study on the right axillary nerve revealed a reduced compound muscle action potential amplitude at the right deltoid muscle. We suggest that this complication was caused by stretch and/or compression when the arm was hyperabducted during the operation. The outcome was excellent, with almost complete recovery 3 months later. The complication can be prevented by minimizing operation time and avoiding hyperabduction of the arm. The prognosis for postoperative brachial plexopathy is usually good with conservative management.

journal_name

Arch Phys Med Rehabil

authors

Lee PH,Hsieh LF,Hong CZ

doi

10.1016/s0003-9993(03)00135-7

subject

Has Abstract

pub_date

2003-09-01 00:00:00

pages

1395-8

issue

9

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(03)00135-7

journal_volume

84

pub_type

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