지방흡인술 후 발생한 상완 신경총 병증
A Case of Brachial Plexopathy after Liposuction
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A thirty-nine year old woman developed weakness and pain of her right arm after liposuction. Liposuction was performed at the medial side of both upper proximal limbs two months prior to the visit. Physical examination revealed weakness of the right upper limb; shoulder flexion and abduction according to manual muscle testing revealed a strength of grade 4/5(MRC scale) and elbow flexion and extension measured grade 3/5(MRC scale). Wrist flexion and extension were grade 3/5(MRC scale) and the intrinsic muscles of the hand scored 1/5(MRC scale). Touch and pain sensations were reduced on the right forearm and hand. The right deep tendon reflex was decreased. Electrophysiologic studies demonstrated a lesion level at the brachial plexus, with whole cord involvement. We report a patient, diagnosed using electrophysiologic study, who developed right arm weakness and paresthesia due to brachial plexopathy after liposuction of both arms.
Abstract
A thirty-nine year old woman developed weakness and pain of her right arm after liposuction. Liposuction was performed at the medial side of both upper proximal limbs two months prior to the visit. Physical examination revealed weakness of the right upper limb; shoulder flexion and abduction according to manual muscle testing revealed a strength of grade 4/5(MRC scale) and elbow flexion and extension measured grade 3/5(MRC scale). Wrist flexion and extension were grade 3/5(MRC scale) and the intrinsic muscles of the hand scored 1/5(MRC scale). Touch and pain sensations were reduced on the right forearm and hand. The right deep tendon reflex was decreased. Electrophysiologic studies demonstrated a lesion level at the brachial plexus, with whole cord involvement. We report a patient, diagnosed using electrophysiologic study, who developed right arm weakness and paresthesia due to brachial plexopathy after liposuction of both arms.
참고문헌 (9)
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