Bilateral brachial plexus palsy after a right-side modified radical mastectomy with immediate TRAM flap reconstruction.
A 65-year-old women developed bilateral brachial plexus palsy after unilateral modified radical mastectomy with TRAM flap reconstruction. The patient recovered spontaneously. The failure of appropriate intra-operative positioning to prevent the injury is discussed.
Grunwald
Zvi
Z
Department of Anesthesiology and Surgery, Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA. Zvi.Grunwald@mail.tju.edu
Moore
John H
JH
Schwartz
Gordon F
GF
D000009:Abdominal Muscles / Q000637:transplantation; D000368:Aged; D001917:Brachial Plexus / Q000293:injuries*; D020516:Brachial Plexus Neuropathies / Q000209:etiology*; D001943:Breast Neoplasms / Q000601:surgery*; D018270:Carcinoma, Ductal, Breast / Q000601:surgery*; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D007431:Intraoperative Complications; D016462:Mammaplasty / Q000009:adverse effects / Q000379:methods*; D015411:Mastectomy, Modified Radical / Q000009:adverse effects*; D013524:Surgical Flaps / Q000009:adverse effects