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Bilateral high radial nerve compressions: a case report.

A Chuangsuwanich¹, S Muangsombut, T Sangruchi

¹Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet

|August 10, 2000

Summary

This case study details bilateral high radial nerve compression in a 40-year-old woman caused by the radial collateral artery. Surgical intervention with sural nerve grafts successfully restored normal radial nerve function.

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Area of Science:

Neurology
Vascular Surgery
Orthopedic Surgery

Background:

High radial nerve compression is rare, especially from non-traumatic vascular causes.
Vascular compression of peripheral nerves can lead to significant neurological deficits.
The radial collateral artery is a potential, though infrequently reported, source of nerve entrapment.

Observation:

A 40-year-old woman presented with symptoms of bilateral high radial nerve compression.
Initial conservative treatment failed, necessitating surgical exploration.
Operative findings revealed two distinct compression sites on the right radial nerve, caused by branches of the radial collateral artery.

Findings:

Resection of the constricted nerve segments and interposition with a sural nerve graft was performed on the right side.

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A similar presentation and surgical intervention (sural nerve graft after failed neurolysis) were required for the left radial nerve one year later.

Complete recovery of radial nerve function was observed in both instances within one year post-surgery.

Implications:

This case highlights the radial collateral artery as a potential cause of bilateral high radial nerve compression.
It underscores the importance of considering vascular anomalies in the differential diagnosis of radial nerve entrapment.
Successful surgical management with nerve grafting offers a viable treatment option for this rare condition.