title: Median nerve neuropraxia by a large false brachial artery aneurysm.
abstract: Peripheral nerve compression is a rare complication of an iatrogenic false brachial artery aneurysm. We present a 72-year-old patient with median nerve compression due to a false brachial artery aneurysm after removal of an arterial catheter. Surgical exclusion of the false aneurysm was performed in order to release traction of the median nerve. At 3-month assessment, moderate hand recovery in function and sensibility was noted. In the case of neuropraxia of the upper extremity, following a history of hospital stay and arterial lining or catheterization, compression due to pseudoaneurysm should be considered a probable cause directly at presentation. Early recognition and treatment is essential to avoid permanent neurological deficit.
authors.affiliation: Department of Vascular Surgery, St. Antonius Hospital, Nieuwegein, the Netherlands n.lijftogt@gmail.com.
authors.forename: Niki
authors.initials: N
authors.lastname: Lijftogt
authors.affiliation: Department of Vascular Surgery, St. Antonius Hospital, Nieuwegein, the Netherlands.
authors.forename: Ernst
authors.initials: E
authors.lastname: Cancrinus
authors.affiliation: Department of Neurology, St. Antonius Hospital, Nieuwegein, the Netherlands.
authors.forename: Erwin L J
authors.initials: EL
authors.lastname: Hoogervorst
authors.affiliation: Department of Vascular Surgery, St. Antonius Hospital, Nieuwegein, the Netherlands.
authors.forename: Rob H W
authors.initials: RH
authors.lastname: van de Mortel
authors.affiliation: Department of Vascular Surgery, St. Antonius Hospital, Nieuwegein, the Netherlands.
authors.forename: Jean-Paul P M
authors.initials: JP
authors.lastname: de Vries
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D001132:Arm / Q000098:blood supply / Q000294:innervation; D001916:Brachial Artery / Q000473:pathology*; D003937:Diagnosis, Differential; D004576:Electromyography; D006801:Humans; D008297:Male; D020423:Median Neuropathy / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D020127:Recovery of Function; D018616:Ultrasonography, Doppler, Duplex
keywords: Median nerve; arterial aneurysm; peripheral nerve compression; pseudoaneurysm