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Related Experiment Videos

Compartment syndromes and compression neuropathies in coma.

R W Shields, K E Root, A J Wilbourn

    Neurology
    |October 1, 1986
    PubMed
    Summary

    Unattended coma can lead to severe peripheral nerve injuries from limb compression. Compartment syndromes were identified as the cause, resulting in significant axonal loss and lasting disability.

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    Area of Science:

    • Neurology
    • Orthopedics
    • Trauma Surgery

    Background:

    • Peripheral nerve injuries can occur in patients with altered consciousness.
    • Limb compression during prolonged immobility is a potential risk factor.

    Observation:

    • Eight patients developed nerve damage after limb compression during unattended coma.
    • Signs included swollen limbs, pressure blisters, and myoglobinuria, indicating compartment syndromes.

    Findings:

    • Compartment syndromes were the direct cause of peripheral nerve lesions in these patients.
    • Nerve injuries were characterized by severe axonal loss, leading to persistent, disabling sequelae.

    Implications:

    • Highlights the risk of nerve damage from compartment syndromes in comatose patients.
    • Emphasizes the need for vigilance in monitoring limb integrity in unresponsive individuals.
    • Suggests potential for preventative measures to mitigate nerve injury in critical care settings.

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