Brachial plexopathy related to alcohol intoxication

Silber, Earl N.; Reilly, Margaret A.; Al-Moallem, Mansour A; Murray, Neville; Khalil, Nancy; Shakir, Raad

doi:10.1136/jnnp.67.3.411

Cited by 9 publications

(3 citation statements)

References 8 publications

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“…9 It has been well described in the literature and typically follows deep sleep, often after an alcoholic binge or drug abuse. 7,10 Focal rhabdomyolysis is not an uncommon disorder resulting from skeletal muscle injury, prolonged immobilisation due to prolonged surgery, and comatose state for any reason.…”

Section: Discussionmentioning

confidence: 99%

“…7,10 Occasionally, focal rhabdomyolysis and acute plexopathy occur concomitantly but axillobrachial vein thrombosis concurrent with this complicated condition has not been described in the literature to our knowledge. 7,9 This report describes a patients with Saturday night palsy and an under-reported combination of symptoms and pathologic entities that necessitated a complete thorough emergent evaluation for possible rhabdomyolysis and deep vein thrombosis.…”

Section: Introductionmentioning

confidence: 97%

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Rhabdomyolysis and upper-extremity deep vein thrombosis associated with Saturday night palsy

Chien

2006

Injury Extra

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Rhabdomyolysis and upper-extremity deep vein thrombosis associated with Saturday night palsy

Chien

2006

Injury Extra

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“…[9] Moreover, the use of axillary crutches and shoulder braces, malpositioning during hospitalization, prone positioning during prolonged surgical procedures, tumors and inflammation were reported as causes of brachial plexus injuries due to differential pressures over nerves. [9][10][11][12] Devitt et al [13] reported flaccid paralysis of upper limb with absence of deep tendon reflexes in an 18-year-old boy, while Silber et al [14] described a complete brachial plexus injury in a 69-year-old gentleman due to stretching following alcohol intoxication.…”

Section: Discussionmentioning

confidence: 99%

Brachial plexus injury: An unusual devastating complication during hospitalization in intensive care unit

Erdem¹

2019

Eklem Hastalik Cerrahisi

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Brakiyal pleksus hasarı: Yoğun bakım ünitesinde yatış sırasında olağandışı yıkıcı bir komplikasyon Brachial plexus injuries lead to functional and physical disability with symptoms ranging from a completely paralyzed upper limb to a lack of muscle control and loss of sensation in the arm, wrist or hand. [1] It has a predominant prevalence in adult male gender and ages between 15 and 25 years. [2] The most common cause of brachial plexus injury in adults is traffic accident, particularly motorcycle accidents. [3,4] Furthermore, traumatic or non-traumatic conditions such as crutch palsy, sports injuries, gunshot wounds, operative malpositioning, tumors, irradiation, alcoholinduced axillary trauma, traction and congenital abnormalities resulting in inflammation are reported as other common reasons causing brachial plexus injury in the literature. [5] Prognosis is variable and associated with the site and extent of the nerve ÖZ Yoğun bakım ünitesi (YBÜ) takibi sırasında kolların hiperabdüksiyon pozisyonunda uzun süre immobilizasyonuna bağlı brakial pleksus hasarı nadirdir. Bu yazıda, YBÜ takibinde aksillası üzerinden sıkıca bağlanmasından dolayı sol üst ekstremitesinde ihmal edilmiş brakiyal pleksus hasarı gelişen, uyuşturucu bağımlısı 20 yaşında bir erkek hastanın olağandışı bir olgusu sunuldu. Sol üst ekstremitesinde progresif hissizliği ve totale yakın immobilitesi vardı. Sol üst ekstremitede atrofi, kas kuvveti kaybı ve derin tendon reflekslerinin olmadığı gözlendi. Elektrodiagnostik çalışmalar, alt gövdede parsiyel aksonal tutulumunun olduğunu gösterdi. Agresif fizik tedavi sonrasında, hastanın kas fonksiyonu iyileşerek medyan, ulnar, muskulokütanöz, aksiller and radyal sinirlerin inerve ettiği tüm kaslarda tam güç gösterdi. Klinisyenler ve diğer personel, YBÜ'de bilinçsiz hastaların takibinde sinir hasarı gibi komplikasyonları göz önünde bulundurarak bu hastaların kısıtlanması konusunda daha dikkatli olmalıdır.

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Saturday night palsy or Sunday morning hangover? A case report of alcohol-induced Crush Syndrome

Devitt

Baker

Ahmed

et al. 2010

Arch Orthop Trauma Surg

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Saturday night palsy is a colloquial term given to brachial plexus injuries of the arm resulting from stretching or direct pressure against a firm object, often after alcohol or drug consumption. In most circumstances, this condition gives rise to a temporary plexopathy, which generally resolves. However, if the compression is severe and prolonged, a more grave form of this condition known as 'Crush Syndrome' may occur. Skeletal muscle injury, brought about by protracted immobilization, leads to muscle decay, causing rhabdomyolysis, which may in turn precipitate acute renal failure. This condition is potentially fatal and has an extremely high morbidity. The case presented below demonstrates the drastic consequences that can result following an episode of 'binge' drinking in a young man. What is most concerning is that this trend is increasing across society and cases like this may not be as rare in the future.

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Brachial plexopathy related to alcohol intoxication

Cited by 9 publications

References 8 publications

Rhabdomyolysis and upper-extremity deep vein thrombosis associated with Saturday night palsy

Rhabdomyolysis and upper-extremity deep vein thrombosis associated with Saturday night palsy

Brachial plexus injury: An unusual devastating complication during hospitalization in intensive care unit

Saturday night palsy or Sunday morning hangover? A case report of alcohol-induced Crush Syndrome

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