Brachial plexus and supraclavicular nerve injury caused by manual carotid compression for spontaneous carotid-cavernous sinus fistula.
BACKGROUND
Manual carotid compression is an established treatment for a spontaneous carotid-cavernous sinus fistula unless emergency treatment is required for it.


METHODS
A 63-year-old woman presented with a spontaneous carotid-cavernous sinus fistula. Manual carotid compression of 5 minutes duration, twice a day, for 10 days resulted in injury to the upper trunk (C 5-6) of the brachial plexus and the supraclavicular nerve (C 3-4), which subsequently resolved within a month after cessation of the procedure.


CONCLUSIONS
It is important to know the possible neurological complications of manual carotid compression.
Komiyama
M
M
Department of Neurosurgery, Osaka City General Hospital, Osaka, Japan.
Nakajima
H
H
Nishikawa
M
M
Yasui
T
T
D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D001917:Brachial Plexus / Q000293:injuries*; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D002426:Cavernous Sinus / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D002968:Clavicle / Q000293:injuries* / Q000294:innervation*; D019245:Compressive Strength; D005260:Female; D018737:Hand Strength; D006801:Humans; D008875:Middle Aged