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Related Experiment Videos

Spontaneous brachial plexus hemorrhage-case report.

A C Heller1, T Kuether, S L Barnwell

  • 1School of Medicine, Oregon Health Sciences University, Portland, 97201-3098, USA.

Surgical Neurology
|May 29, 2000
PubMed
Summary

Spontaneous shoulder hemorrhage causing brachial plexus neuropathy is rare. This case highlights conservative management for mild symptoms, emphasizing prompt surgical intervention for severe deficits to prevent permanent nerve damage.

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Area of Science:

  • Neurology
  • Radiology
  • Traumatology

Background:

  • Shoulder hemorrhage causing brachial plexus neuropathy is uncommon, typically linked to trauma or anticoagulation.
  • This report details a rare instance of spontaneous brachial plexus hemorrhage.

Observation:

  • A 48-year-old jackhammer operator presented with acute right shoulder and upper extremity pain, numbness, and weakness.
  • Imaging revealed a significant hematoma in the axilla and chest wall.
  • The patient experienced a full recovery with conservative management, including pain control and observation.

Findings:

  • Spontaneous shoulder hemorrhage can lead to brachial plexus neuropathy.
  • Conservative treatment is effective for mild or improving neurologic deficits.
  • Severe or worsening neurologic symptoms necessitate surgical hematoma evacuation.

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Implications:

  • Hematoma-induced nerve compression requires assessment based on neurologic deficit severity, not bleeding cause.
  • Timely surgical intervention is crucial for severe or progressive deficits to avert permanent nerve damage.
  • This case expands understanding of spontaneous hemorrhage and its management in brachial plexus neuropathy.