Delayed weakness following a gunshot wound

Abstract

Injury to the vascular system in the cervical mediastinal area can cause delayed neurologic symptoms. In this article, the authors describe a patient in whom pseudoaneurysm formation after a gunshot wound eventually led to weakness in the shoulder and arm.

Brachial plexus compression due to subclavian artery pseudoaneurysm from internal jugular vein catheterization

“…In our review, early surgical intervention of compressive hematoma within 48 h resulted in improvement in all patients while late intervention after 48 h resulted in improvement in about half of patients. [78910] Our patient had progressive signs and symptoms of brachial plexopathy.…”

“…[78] Because brachial palsy has a poor prognosis when recognition is delayed, an aggressive approach is advocated. In our review, early surgical intervention of compressive hematoma within 48 h resulted in improvement in all patients while late intervention after 48 h resulted in improvement in about half of patients.…”

Brachial Plexus Paralysis of a Dominant Arm Due to Hematoma Associated with Internal Jugular Vein Cannulation

“…There is a close anatomic relationship between the brachial plexus and the subclavian artery and vein in the thoracic inlet. Therefore, a small volume of fluid may result in compression of the brachial plexus and neuroplexus . The time of intervention influences prognosis of this complication.…”

“…The time of intervention influences prognosis of this complication. Historical case reports and case series seem to suggest that early surgical intervention, defined as intervention within 48 hours, results in improved chances of partial or full recovery . Late intervention, i.e., after 48 hours, is associated with improvement in half of the patients .…”

“…Therefore, a small volume of fluid may result in compression of the brachial plexus and neuroplexus. [1][2][3][4][5] The time of intervention influences prognosis of this complication. Historical case reports and case series seem to suggest that early surgical intervention, defined as intervention within 48 hours, results in improved chances of partial or full recovery.…”