Brachial Plexus Avulsion

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Abstract

This chapter presents the case of a young man who suffers from neuropathic pain at the left hand since a traumatic brachial plexus avulsion while driving a motorcycle. Pain is mainly paroxysmal, with intense spontaneous electric shock-like discharges. At examination, the patient has complete paralysis and extended anesthesia of the left arm. This case is compatible with brachial plexus avulsion (BPA) caused by high-energy traction to the brachial plexus, usually during a motorcycle accident. BPA commonly causes neuropathic (mainly paroxysmal) pain and musculoskeletal pain. Neuropathic pain and musculoskeletal pain may be difficult to differentiate in these patients, and this may be helped by screening questionnaires.
Original languageEnglish
Title of host publicationNeuropathic Pain
EditorsNadine Attal, Didier Bouhassira
PublisherOxford University Press
Publication dateFeb 2023
Pages115-120
Chapter20
ISBN (Print)9780197616345
ISBN (Electronic)9780197616376
DOIs
Publication statusPublished - Feb 2023
SeriesWhat Do I Do Now

Keywords

  • brachial plexus avulsion
  • paroxysmal pain
  • electric shocks
  • paralysis
  • anesthesia
  • DREZotomy

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