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

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    Authors
    Saidha, Shiv
    Spillane, Jennifer
    Mullins, Gerard
    McNamara, Brian
    Affiliation
    Department of Neurophysiology, Cork University Hospital, Cork, Ireland. shivsaidha@physicians.ie.
    Issue Date
    2010
    
    Metadata
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    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
    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
    ISSN
    1749-7221
    ae974a485f413a2113503eed53cd6c53
    10.1186/1749-7221-5-9
    Scopus Count
    Collections
    Cork University Hospital

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