Spectrum of peripheral neuropathies associated with surgical interventions; A neurophysiological assessment.

Hdl Handle:
http://hdl.handle.net/10147/200310
Title:
Spectrum of peripheral neuropathies associated with surgical interventions; A neurophysiological assessment.
Authors:
Saidha, Shiv; Spillane, Jennifer; Mullins, Gerard; McNamara, Brian
Affiliation:
Department of Neurophysiology, Cork University Hospital, Cork, Ireland. shivsaidha@physicians.ie.
Citation:
Spectrum of peripheral neuropathies associated with surgical interventions; A neurophysiological assessment. 2010, 5:9 J Brachial Plex Peripher Nerve Inj
Journal:
Journal of brachial plexus and peripheral nerve injury
Issue Date:
2010
URI:
http://hdl.handle.net/10147/200310
DOI:
10.1186/1749-7221-5-9
PubMed ID:
20398427
Additional Links:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2862031/pdf/1749-7221-5-9.pdf; http://www.jbppni.com/content/pdf/1749-7221-5-9.pdf
Abstract:
We hypothesized that a wide range of surgical procedures may be complicated by neuropathies, not just in close proximity but also remote from procedural sites. The aim of this study was to classify post-operative neuropathies and the procedures associated with them.; We retrospectively identified 66 patients diagnosed with post-procedure neuropathies between January 2005 and June 2008. We reviewed their referral cards and medical records for patient demographics, information on procedures, symptoms, as well as clinical and neurophysiological findings.; Thirty patients (45.4%) had neuropathies remote from procedural sites and 36 patients (54.5%) had neuropathies in close proximity to procedural sites. Half of the remote neuropathies (15/30) developed following relatively short procedures. In 27% of cases (8/30) remote neuropathies were bilateral. Seven patients developed neuropathies remote from operative sites following hip arthroplasties (7/30: 23.3%), making hip arthroplasty the most common procedure associated with remote neuropathies.Sciatic neuropathies due to hip arthroplasty (12/36, 33.3%) accounted for the majority of neuropathies occurring in close proximity to operative sites.Five medial cutaneous nerve of forearm neuropathies occurred following arterio-venous fistula (AVF) formation.; An array of surgical procedures may be complicated by neuropathy. Almost half of post-procedure neuropathies occur remote from the site of procedure, emphasizing the need to try to prevent not just local, but also remote neuropathies. Mechanical factors and patient positioning should be considered in the prevention of post-operative neuropathies. There is a possible association between AVF formation and medial cutaneous nerve of forearm neuropathy, which requires further study for validation.
Item Type:
Article
Language:
en
Description:
BACKGROUND: We hypothesized that a wide range of surgical procedures may be complicated by neuropathies, not just in close proximity but also remote from procedural sites. The aim of this study was to classify post-operative neuropathies and the procedures associated with them. METHODS: We retrospectively identified 66 patients diagnosed with post-procedure neuropathies between January 2005 and June 2008. We reviewed their referral cards and medical records for patient demographics, information on procedures, symptoms, as well as clinical and neurophysiological findings. RESULTS: Thirty patients (45.4%) had neuropathies remote from procedural sites and 36 patients (54.5%) had neuropathies in close proximity to procedural sites. Half of the remote neuropathies (15/30) developed following relatively short procedures. In 27% of cases (8/30) remote neuropathies were bilateral. Seven patients developed neuropathies remote from operative sites following hip arthroplasties (7/30: 23.3%), making hip arthroplasty the most common procedure associated with remote neuropathies.Sciatic neuropathies due to hip arthroplasty (12/36, 33.3%) accounted for the majority of neuropathies occurring in close proximity to operative sites.Five medial cutaneous nerve of forearm neuropathies occurred following arterio-venous fistula (AVF) formation. CONCLUSIONS: An array of surgical procedures may be complicated by neuropathy. Almost half of post-procedure neuropathies occur remote from the site of procedure, emphasizing the need to try to prevent not just local, but also remote neuropathies. Mechanical factors and patient positioning should be considered in the prevention of post-operative neuropathies. There is a possible association between AVF formation and medial cutaneous nerve of forearm neuropathy, which requires further study for validation.
ISSN:
1749-7221

Full metadata record

DC FieldValue Language
dc.contributor.authorSaidha, Shiven
dc.contributor.authorSpillane, Jenniferen
dc.contributor.authorMullins, Gerarden
dc.contributor.authorMcNamara, Brianen
dc.date.accessioned2012-01-05T14:12:08Z-
dc.date.available2012-01-05T14:12:08Z-
dc.date.issued2010-
dc.identifier.citationSpectrum of peripheral neuropathies associated with surgical interventions; A neurophysiological assessment. 2010, 5:9 J Brachial Plex Peripher Nerve Injen
dc.identifier.issn1749-7221-
dc.identifier.pmid20398427-
dc.identifier.doi10.1186/1749-7221-5-9-
dc.identifier.urihttp://hdl.handle.net/10147/200310-
dc.descriptionBACKGROUND: We hypothesized that a wide range of surgical procedures may be complicated by neuropathies, not just in close proximity but also remote from procedural sites. The aim of this study was to classify post-operative neuropathies and the procedures associated with them. METHODS: We retrospectively identified 66 patients diagnosed with post-procedure neuropathies between January 2005 and June 2008. We reviewed their referral cards and medical records for patient demographics, information on procedures, symptoms, as well as clinical and neurophysiological findings. RESULTS: Thirty patients (45.4%) had neuropathies remote from procedural sites and 36 patients (54.5%) had neuropathies in close proximity to procedural sites. Half of the remote neuropathies (15/30) developed following relatively short procedures. In 27% of cases (8/30) remote neuropathies were bilateral. Seven patients developed neuropathies remote from operative sites following hip arthroplasties (7/30: 23.3%), making hip arthroplasty the most common procedure associated with remote neuropathies.Sciatic neuropathies due to hip arthroplasty (12/36, 33.3%) accounted for the majority of neuropathies occurring in close proximity to operative sites.Five medial cutaneous nerve of forearm neuropathies occurred following arterio-venous fistula (AVF) formation. CONCLUSIONS: An array of surgical procedures may be complicated by neuropathy. Almost half of post-procedure neuropathies occur remote from the site of procedure, emphasizing the need to try to prevent not just local, but also remote neuropathies. Mechanical factors and patient positioning should be considered in the prevention of post-operative neuropathies. There is a possible association between AVF formation and medial cutaneous nerve of forearm neuropathy, which requires further study for validation.en
dc.description.abstractWe hypothesized that a wide range of surgical procedures may be complicated by neuropathies, not just in close proximity but also remote from procedural sites. The aim of this study was to classify post-operative neuropathies and the procedures associated with them.-
dc.description.abstractWe retrospectively identified 66 patients diagnosed with post-procedure neuropathies between January 2005 and June 2008. We reviewed their referral cards and medical records for patient demographics, information on procedures, symptoms, as well as clinical and neurophysiological findings.-
dc.description.abstractThirty patients (45.4%) had neuropathies remote from procedural sites and 36 patients (54.5%) had neuropathies in close proximity to procedural sites. Half of the remote neuropathies (15/30) developed following relatively short procedures. In 27% of cases (8/30) remote neuropathies were bilateral. Seven patients developed neuropathies remote from operative sites following hip arthroplasties (7/30: 23.3%), making hip arthroplasty the most common procedure associated with remote neuropathies.Sciatic neuropathies due to hip arthroplasty (12/36, 33.3%) accounted for the majority of neuropathies occurring in close proximity to operative sites.Five medial cutaneous nerve of forearm neuropathies occurred following arterio-venous fistula (AVF) formation.-
dc.description.abstractAn array of surgical procedures may be complicated by neuropathy. Almost half of post-procedure neuropathies occur remote from the site of procedure, emphasizing the need to try to prevent not just local, but also remote neuropathies. Mechanical factors and patient positioning should be considered in the prevention of post-operative neuropathies. There is a possible association between AVF formation and medial cutaneous nerve of forearm neuropathy, which requires further study for validation.-
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC2862031/pdf/1749-7221-5-9.pdfen
dc.relation.urlhttp://www.jbppni.com/content/pdf/1749-7221-5-9.pdfen
dc.titleSpectrum of peripheral neuropathies associated with surgical interventions; A neurophysiological assessment.en
dc.typeArticleen
dc.contributor.departmentDepartment of Neurophysiology, Cork University Hospital, Cork, Ireland. shivsaidha@physicians.ie.en
dc.identifier.journalJournal of brachial plexus and peripheral nerve injuryen
dc.description.provinceMunster-

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