Compression-induced reversible brachial plexopathy: Urgent neurological approach

Ulus Travma Acil Cerrahi Derg. 2024 Nov;30(11):842-844. doi: 10.14744/tjtes.2024.26254.

Abstract

Brachial plexus injuries are the second most common perioperative peripheral nerve injuries. Malposition is a significant predisposing factor to these injuries. Additionally, some drugs, including tacrolimus, are known to predispose individuals to peripheral neuropathy. Herein, we present the electroneuromyography (EMG) findings within the first 48 hours for a patient who has been under tacrolimus treatment for five years due to liver transplantation and developed compression-induced reversible brachial plexopathy. Through this case, we highlighted that brachial plexus injury may not always result in axonal involvement and discussed the findings that may be encountered in early neurophysiological examinations.

Publication types

  • Case Reports

MeSH terms

  • Brachial Plexus / injuries
  • Brachial Plexus Neuropathies* / etiology
  • Electromyography*
  • Humans
  • Immunosuppressive Agents / adverse effects
  • Immunosuppressive Agents / therapeutic use
  • Liver Transplantation / adverse effects
  • Male
  • Middle Aged
  • Nerve Compression Syndromes / etiology
  • Tacrolimus / adverse effects
  • Tacrolimus / therapeutic use

Substances

  • Tacrolimus
  • Immunosuppressive Agents