Clinical Pain

Korean Association of Pain Medicine (대한임상통증학회)
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Musculocutaneous and Median Neuropathy after MiraDry® Procedure for Axillary Hyperhidrosis

다한증 치료 기구인 MiraDry®에 의한 근피 및 정중신경 손상 증례

  • Kim, Youngmin (Department of Rehabilitation Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Yoon, Mi-Jeong (Department of Rehabilitation Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Park, Sunha (Department of Rehabilitation Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, Min Wook (Department of Rehabilitation Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • 김영민 (가톨릭대학교 의과대학 인천성모병원 재활의학교실) ;
  • 윤미정 (가톨릭대학교 의과대학 인천성모병원 재활의학교실) ;
  • 박선하 (가톨릭대학교 의과대학 인천성모병원 재활의학교실) ;
  • 김민욱 (가톨릭대학교 의과대학 인천성모병원 재활의학교실)
  • Received : 2021.08.12
  • Accepted : 2021.10.22
  • Published : 2021.12.31
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Abstract

MiraDry®, a microwave thermolysis device, is comparably new non-surgical agent in the field of eradication of sweat glands for treating axillary hyperhidrosis and osmidrosis. So far, altered sensation, swelling, and compensatory sweating are widely known as adverse effects of MiraDry®. Of the few reported MiraDry®-induced neuropathy cases, median and ulnar neuropathies are common. Although, one case has described radial nerve and posterior cord damage with maximized stimulation intensity, musculocutaneous nerve damage induced by MiraDry® has not been reported. Here, we report a case of a 30-year-old woman experiencing left hand weakness after receiving MiraDry® at a local dermatology clinic. Left brachial plexopathy, mainly involving the median nerve and the musculocutaneous nerve with partial axonotmesis, was confirmed by electrodiagnostic studies. Ultrasound evaluation showed corresponding results. This is the first case report of the musculocutaneous neuropathy by MiraDry®.

Keywords

References

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