복강경담낭절제술 후 발생한 양측성 상완신경총병증 - 증례 보고 -
Bilateral Brachial Plexopathy Following Laparoscopic Cholecystectomy - A Case Report -
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Bilateral brachial plexopathy following general anesthesia is rare and has not been reported in Korea. An 81-year-old man developed weakness of bilateral upper extremities immediately after undergoing cholecystectomy. Electrodiagnostic study performed 16 days after onset of weakness revealed bilateral brachial plexopathy. His clinical symptoms showed gradual improvement with rehabilitation treatment. We report a patient who developed bilateral brachial plexopathy following laparoscopic cholecystectomy under the general anesthesia. Careful positioning of the upper extremity with awareness of risk factors which are likely to cause brachial plexus injury can prevent injury and potential disability to the patients.
Abstract
Bilateral brachial plexopathy following general anesthesia is rare and has not been reported in Korea. An 81-year-old man developed weakness of bilateral upper extremities immediately after undergoing cholecystectomy. Electrodiagnostic study performed 16 days after onset of weakness revealed bilateral brachial plexopathy. His clinical symptoms showed gradual improvement with rehabilitation treatment. We report a patient who developed bilateral brachial plexopathy following laparoscopic cholecystectomy under the general anesthesia. Careful positioning of the upper extremity with awareness of risk factors which are likely to cause brachial plexus injury can prevent injury and potential disability to the patients.
참고문헌 (10)
- 이원일, "상완신경총 손상의 근전도 소견", 대한재활의학회지, 14, pp.277~283 (1990)
- 박동식, "상완신경총 손상의 전기진단", 대한 근전도∙전기진단의학회지, 4, pp.1~7 (2002)
- Cheney FW, "Nerve injury associated with anesthesia: a closed claims analysis", Anesthesiology, 90(4), pp.1962~1969 (1999)
- Brunette KE, "Bilateral brachial plexopathy following laparoscopic bariatric surgery", Anaesth Intensive Care, 33(6), pp.812~815 (2005)
- Cooper DE, "The prevention of injuries of the brachial plexus secondary to malposition of the patient during surgery", Clin Orthop Relat Res, 228, pp.33~41 (1988)
- Ferrante MA, "Brachial plexopathies: classification, causes, and consequences", Muscle Nerve, 30(5), pp.547~568 (2004)
- Wilbourn AJ, "Iatrogenic nerve injuries", Neurol Clin, 16(1), pp.55~82 (1998)
- Romanowski L, "Brachial plexus neuropathies after advanced laparoscopic surgery", Fertil Steril, 60(4), pp.729~732 (1993)
- 김윤희, "정중 흉골절개술 이후 발생한 상완신경총 손상 2예", 대한근전도 전기진단의학회지, 10(2), pp.152~156 (2008), 대한근전도전기진단의학회
- Warner MA, "Practice advisory for the prevention of perioperative peripheral neuropathies. A report by the American Society of Anesthesiologists’Task Force on the prevention of perioperative peripheral neuropathies", Anesthesiology, 92, pp.249~251 (2000)
