Brakial Pleksus Nöropraksisi: Bir Olgu Sunumu

Yıl 2012, Cilt: 37 Sayı: 4, 247 - 250, 01.12.2012

Bayram Kelle Filiz Koç

Öz

Nöropraksi, kompresyon ile gelişen lokalize sinir hasarıdır. Sinirin anatomik yapısı korunmaktadır. Motor kayıp, paresteziler gelişebilir, ağrı duyusu nadiren etkilenir. Daha çok ekstremitelerin distal kısmını tutmaktadır. Kliniği gürültülü olabilmekle beraber tedaviye yanıtı oldukça iyidir. Bu vakada oldukça nadir görülen travmatik brakial pleksus nöropraksisi sunulmuş olup, literatür gözden geçirilmiştir.

Anahtar Kelimeler

Nöropraksi, brakial pleksus, travma

Brachial Plexus Neuropraxia: A Case Report

Öz

Neuropraxia develops as a result of localized nerve compression. The anatomical structure of the nerve is protected. Motor loss and paresthesias may occur, pain sensation is rarely affected. The distal portion of the extremities are affected more often. Clinical symptoms respond well to treatments. In this case was presented brachial plexus neuropraxia which is a very rare situation und the literature was reviewed.

Anahtar Kelimeler

Neuropraxia, brachial plexus, trauma

Kaynakça

• 1. Schaumberg HH, Spencer PS, Thomas PK. Disorders of Peripheral Nerves. Philadelphia: David FA. 1983.
• 2. Stockert BW. Peripheral Neuropathies. In: Umphred DA, editor. Neurological Rehabilitation. 3rt ed. St Louis: Mosby-Year Book. 1995.
• 3. Seddon HJ. Three Types of Nerve Injury. Brain. 1943; 66:237-42.
• 4. Thomas PK., Berthold CH., Ochoa J. Microscopic anatomy of the peripheral nervous system. In: Dyck P., editor. Peripheral Neuropathy. 3rd ed. Philadelphia: WB Saunders. 1993; 28-80.
• 5. Büyükkiraz M. Pleksus brakialis yapısı, varyasyonları ve cerrahi önemi. Uzmanlık tezi. İstanbul. 2005.
• 6. Ramesh S, Lim YJ.Complex elbow dislocation associated with radial and ulnar diaphyseal fractures: a rare combination. Strategies Trauma Limb Reconstr. 2011; 6:97-101.
• 7. Leblebicioğlu G. Brakial pleksus yaralanmaları. Türk Nöroşiruruji Dergisi. 2005; 15:227-49.
• 8. Addas BM. An uncommon cause of brachial plexus injury. Neurosciences. 2012; 17:64-5.
• 9. Oofuvong M. Canadian Frame and Bilateral Brachial Plexus Neurapraxia. J Med Assoc Thai. 2005; 88: 1952-4.
• 10. NINDS Brachial Plexus Injuries: Information Page"National Institute of Neurological Disorders and Stroke. Last updated September 29, 2008-see bottom of webpage). http://www.ninds.nih.gov/disorders/brachial_plexus/br achial_plexus.htm. 2009-10-11.
• 11. Park TS, Kim YS. Neuropraxia of the cutaneous nevre of the cervical plexus after shoulder arthroscopy. Arthroscopy. 2005; 21:631.
• 12. Haflah NH. Partial anterior interosseous nevre palsy: isolated neuropraxia of the branch to flexor pollicis longus. Hand Surg. 2010; 15:221-3.