Isolated axillary nerve palsy after liposuction, an exceptional complication.

Neurocirugia (Astur : Engl Ed)

Servicio de Cirugía Plástica, Estética y Reparadora, Hospital Universitario La Zarzuela, Madrid, Comunidad de Madrid, Spain.

Published: September 2022

AI Article Synopsis

  • Isolated axillary nerve injury is a rare complication usually linked to certain surgical positions, mainly prone during spinal surgeries.
  • The case discussed involves a patient who experienced left axillary nerve palsy following lipoabdominoplasty and breast reduction, suggesting unusual circumstances for this injury.
  • Symptoms resolved completely with conservative treatment, highlighting the importance of post-surgical monitoring despite the rarity of such complications.

Article Abstract

Isolated injury to the axillary nerve associated with the patient's surgical position is a very rare complication, and in most cases it is associated with the prone during spinal surgery. The presentation of this pathology in relation to surgeries of another nature is exceptional, with only a few cases in the scientific literature. We present the case of a patient who developed symptoms of isolated left axillary nerve palsy after undergoing lipoabdominoplasty and breast reduction, in which the prone and supine positions were alternated. The use of an infiltration solution with lidocaine and epinephrine could have contributed to the appearance of the lesion in this unique case. Finally, the clinical picture was fully resolved thanks to conservative treatment.

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Source
http://dx.doi.org/10.1016/j.neucie.2021.04.006DOI Listing

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