Extensor pollicis longus paralysis following thoracoscopic sympathectomy

Area of Science:

• Thoracic surgery
• Neurosurgery
• Medical complications

Background:

• Thoracoscopic sympathectomy is a common surgical treatment for palmar hyperhidrosis.
• While generally safe, potential complications include pneumothorax, Horner's syndrome, and compensatory sweating.

Observation:

• A fit young male developed isolated extensor pollicis longus paralysis after thoracoscopic sympathectomy for palmar hyperhidrosis.
• This specific neurological complication has not been previously documented in medical literature.

Findings:

• The patient experienced paralysis of the extensor pollicis longus muscle, a rare and previously unreported outcome.
• This suggests a potential for unusual nerve injuries following thoracic sympathectomy.

Implications:

• Highlights the importance of recognizing and investigating rare neurological complications after thoracoscopic sympathectomy.
• May prompt further research into the mechanisms of nerve injury during this procedure.
• Informs surgeons about a previously unknown potential risk, aiding in patient counseling and informed consent.