Journal of Trauma and Injury

  • 제27권3호
  • /
  • Pages.79-83
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  • 2014
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  • 2799-4317(pISSN)
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  • 2287-1683(eISSN)
대한외상학회 (The Korean Society of Traumatology)
권호 표지

목맴 후 발생한 양측 팔신경얼기손상: 증례보고

Bilateral Brachial Plexopathy Following an Attempted Hanging: A Case Report

  • Yoon, Byung-Nam (Department of Neurology, Inha University Hospital) ;
  • Choi, Seong-Hye (Department of Neurology, Inha University Hospital) ;
  • Rha, Joung-Ho (Department of Neurology, Inha University Hospital) ;
  • Sung, Jung-Joon (Department of Neurology, Seoul National University Hospital) ;
  • Ma, Eun-Ju (Department of Neurology, Seoul Seo-Buk Metropolitan Hospital) ;
  • Lee, Kwang-Woo (Department of Neurology, Seoul National University Hospital)
  • 투고 : 2014.03.25
  • 심사 : 2014.07.08
  • 발행 : 2014.09.30
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초록

The brachial plexus is a network of nerves that provides movement and feeling to the shoulder, arm and hand. The majority of acute brachial plexus injuries occur when the plexus is stretched violently or torn. This happens as result of the shoulder being pressed down forcefully while the head is pushed up and away from that shoulder. Such injuries frequently result from automobile or motor-cycle accidents or from falls and usually affect one side. Nerve injuries vary in severity from a mild stretching of the nerve to a tearing of the nerve root away from the spinal cord. We experienced a 50-year-old woman with weakness in both upper extremities after an attempted hanging. A consecutive workup revealed bilateral brachial plexus injuries. Six months after the incident, she had fully recovered. This is a very rare case of bilateral brachial plexus injuries after an attempted hanging.

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참고문헌

  1. Narakas AO. The treatment of brachial plexus injuries. Int Orthop 1985; 9: 29-36. https://doi.org/10.1007/BF00267034
  2. Krishnan KG, Martin KD, Schackert G. Traumatic lesions of the brachial plexus: an analysis of outcomes in primary brachial plexus reconstruction and secondary functional arm reanimation. Neurosurgery 2008; 62: 873-85; discussion 885-6. https://doi.org/10.1227/01.neu.0000318173.28461.32
  3. Aminoff MJ, Olney RK, Parry GJ, et al. Relative utility of different electrophysiologic techniques in the evaluation of brachial plexopathies. Neurology 1988; 38: 546-50. https://doi.org/10.1212/WNL.38.4.546
  4. West GA, Haynor DR, Goodkin R, et al. Magnetic resonance imaging signal changes in denervated muscles after peripheral nerve injury. Neurosurgery 1994; 35: 1077-85; discussion 1085-6. https://doi.org/10.1227/00006123-199412000-00010
  5. Huang CR, Chang WN, Tsai NW, Lu CH. Serial nerve conduction studies in vitamin B12 deficiency-associated polyneuropathy. NeurolSci 2011; 32: 183-6.
  6. Available at http://kostat.go.kr/portal/korea/kor_nw/3/ index.board, Accessed at March 17, 2014.
  7. Borowski DW, Mehrotra P, Tennant D, El Badawey MR, Cameron DS. Unusual presentation of blunt laryngeal injury with cricotracheal disruption by attempted hanging: a case report. Am J Otolaryngol 2004; 25: 195-8. https://doi.org/10.1016/j.amjoto.2003.11.001
  8. Jung SK, Lee HJ. Analysis of suicide by hanging in seoul, republic of Korea, 2007. Korean J Forensic Sci 2008; 9: 11-5.
  9. Wee JH, Park KN, Oh SH, Youn CS, Kim HJ, Choi SP. Outcome analysis of cardiac arrest due to hanging injury. Am J Emerg Med 2011; 30: 690-4.
  10. Martin MJ, Weng J, Demetriades D, Salim A. Patterns of injury and functional outcome after hanging: analysis of the National Trauma Data Bank. Am J Surg 2005; 190: 836-40.
  11. Borowski DW, Mehrotra P, Tennant D, El Badawey MR, Cameron DS. Unusual presentation of blunt laryngeal injury with cricotracheal disruption by attempted hanging: a case report. Am J Otolaryngol 2004; 25: 195-8. https://doi.org/10.1016/j.amjoto.2003.11.001
  12. Choi JW, Koo BS, Rha KS, Yoon, YH. Complete laryngotracheal separation following attempted hanging. Clin Exp Otorhinolaryngol 2012; 7: 177-80.
  13. Thomsen AB, Eriksen J, Smidt-Nielse K Neurogenic pain following Palestinian hanging. Uqeskr Laeger 1997; 159: 4129-30.