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Post-procedural Brachial Neuritis: Clinical, Electrodiagnostic and Neuroimaging features.

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November 2024

From the School of Medicine (V.S.A), Department of Neurology (N.M., N.A., A.N.P, B.R.B, R.P.K), Department of Neurological Surgery (V.S.A., P.V.M), and Department of Radiology and Biomedical Imaging (V.N.S), Neuroradiology Section, University of California, San Francisco, San Francisco, California, USA.

Background And Purpose: Brachial neuritis is a monophasic condition affecting the brachial plexus and its branches, manifesting as acute shoulder and upper arm pain, followed by weakness and paresthesias. It can be triggered by antecedent events, including procedures such as surgery. Misdiagnosis and delay in diagnosis is common.

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Coronary vasospasm and coronary artery dissection are two recognized causes of Sudden Cardiac Death [SCD] in association with Myocardial Infarction in Non-Obstructive Coronary Artery [MINOCA]. This is a case of post procedure death in a 50-year-old female during cardiac angiography, who had a family history of coronary spasm with sudden cardiac death in her mother. She went into cardiac arrest during the procedure with iatrogenic acute coronary dissection which was treated with LMS/LCx vessel stenting.

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Radial nerve palsy (RNP) is classified as traumatic, non-traumatic, or iatrogenic. The most frequent etiologic agent is the fracture of the humerus of the shaftand distal. We experienced a case of RNP caused by desmoid-type fibromatosis around the radial nerve.

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Article Synopsis
  • The study examines how iatrogenic proximal venous stenosis (narrowing of veins due to medical procedures) affects outcomes in patients with secondary lymphedema undergoing lymphaticovenular anastomosis (LVA).
  • It analyzed 211 patients and found a higher incidence of proximal venous stenosis in the upper extremities (32.5%) compared to the lower extremities (7.8%), along with a greater need for endovascular intervention in upper extremities.
  • Key risk factors for venous stenosis were identified as older age and having upper extremity lymphedema, emphasizing the importance of preoperative evaluations for these patients before surgery.
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