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Αλέξανδρος Γ. Σφακιανάκης

Tuesday, June 22, 2021

Isolated axillary nerve palsy after liposuction, an exceptional complication

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Neurocirugia (Astur). 2021 Jun 18:S1130-1473(21)00055-5. doi: 10.1016/j.neucir.2021.04.006. Online ahead of print.

ABSTRACT

Isolated injury to the axillary nerve associated with the patient́s surgical position is a very rare complication, and in most cases it is associated with the prone during spinal surgery. The presentation of this pathology in relation to surgeries of another nature is exceptional, with only a few cases in the scientific literature. We present the case of a patient who developed symptoms of isolated left axillary nerve palsy after undergoing lipoabdominoplasty and breast reduction, in which the prone and supine positions were alternated. The use of an infiltration solution with lidocaine and epinephrine could have contributed to the appearance of the lesion in this unique case. Finally, the clinical picture was fully resolved thanks to conservative treatment.

PMID:34154908 | DOI:10.1016/j.neucir.2021.04.006

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