title: [Case of median nerve paralysis after hepatic segmentectomy].
abstract: We report a case of a median nerve palsy. Hepatic segmentectomy and lymphnode dissection were performed in a 21-year-old man for multiple liver and retroperitoneal lymph nodes metastasis of seminoma. After surgery, patient complained of motor paralysis and hypesthesia of the left palm side of the thumb, first finger and radial half of the middle finger. He was diagnosed as having median nerve palsy. Motor paralysis and hypesthesia gradually disappeared over the two weeks after surgery. We should pay attention to appropriate positioning of the arm during surgery, and preoperative use of paclitaxel needs to be considered as etiology for perioperative peripheral nerve palsy.
authors.affiliation: Department of Anesthesiology, University of Tsukuba Hospital, Tsukuba 305-8576.
authors.forename: Aya
authors.initials: A
authors.lastname: Yoshimatsu
authors.forename: Takuo
authors.initials: T
authors.lastname: Hoshi
authors.forename: Makoto
authors.initials: M
authors.lastname: Tanaka
mesh_terms: D000972:Antineoplastic Agents, Phytogenic / Q000009:adverse effects; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery*; D008197:Lymph Node Excision; D008297:Male; D008475:Median Nerve; D017239:Paclitaxel / Q000009:adverse effects; D010243:Paralysis / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*; D011187:Posture; D018239:Seminoma / Q000556:secondary / Q000601:surgery*; D055815:Young Adult
chemical_list: D000972:Antineoplastic Agents, Phytogenic; D017239:Paclitaxel