Paresthesia and forearm pain after phlebotomy due to medial antebrachial cutaneous nerve injury

Mahsa Asheghan1, Amidoddin Khatibi1, Mohammad Taghi Holisaz1
1Department of Physical Medicine and Rehabilitation, Baghyatollah Hospital, Baghyatollah University of Medical Sciences, Tehran, Iran

Tóm tắt

Although phlebotomy is a common procedure, there is limited information concerning to documented complications of venipuncture. A 45 year old left- handed woman was refered for elecrodiagnostic study with dysesthesia and pain in left medial forearm. She noted these symptoms three weeks after phelebotomy. Electrodiagnostic study showed severe involvement of left side Medial Antebrachial Cutaneous nerve (MAC nerve). Phelebotomy is a cause of MAC nerve injury. Electrodiagnostic testing can be helpful in evaluating cases of sensory disturbance after phlebotomy.

Tài liệu tham khảo

Edwards WC, Fleming LL: Radial nerve palsy at the elbow following venipuncture-case report. J Hand Surgery [Am] 1981, 6:486–9. Stitik TP, Foye PM, Nadler SF, Bruchman GO: Phlebotomy related lateral antebrachial cutaneous nerve injury-case report. Am J Phy Med Rehabil 2001, 80:230–4. Sander HW, Conigliari M, Masdeu JC: Antecubital phlebotomy complicated by lateral antebrachial cutaneous neuropathy. N Engl J Med 1998, 339:2024. Rayegani SM, Azadi A: Lateral antebrachial cutaneous nerve injury induced by phlebotomy. J Brachial Plex Peripher Nerve Inj 2007, 2:6. Daneil Dumitru: Electrodiagnostic medicine. second. HANLEY & BELFUS; 2002. Richards RR, Regan WD: Medial epicondylitis caused by injury to the medial antebrachial cutaneous nerve: a case report. Can J Surg 1989, 32:366–7. Horowitz SH: Peripheral nerve injury and causalgia secondary to routine venipuncture. Neurology 1994, 44:962–64. Sarris I, Göbel F, Gainer M, Vardakas DG, Vogt MT, Sotereanos DG: Medial brachial and antebrachial cutaneous nerve injuries: Effect on outcome in revision cubital tunnel surgery. J Reconst Microsurg 2002, 18:665–70. Lowe JB, Maggi SP, Mackinnon SE: The position of crossing branches of the medial antebrachial cutaneous nerve during cubital tunnel surgery in humans. Plast Reconstr Surg 2004, 114:692–96. Stahl S, Rosenberg N: Surgical treatment of painful neuroma in medial antebrachial cutaneous nerve. Ann Plast Surg 2002, 48:154–60. Kelly EW, Morrey BF, O'Driscoll SW: Complications of elbow arthroscopy. J Bone Joint Surg Am 2001, 83-A:25–348. Chiu YN, Huang YL, Chang CW: Medial antebrachial cutaneous neuropathy: a case report. Electromyogr Clin Neurophysiol 2008, 48:125–7. Chang CW, Ho SJ: Medial antebrachial cutaneous neuropathy. Case report Electromyogr Clin Neurophysiol 1988, 28:3–5. Martins RS, Siqueira MG, Carvalho AAS: A case of isolated tuberculoid leprosy of antebrachial medial cutaneous nerve. Neurol Sci 2004, 25:216–19. Seror P: Forearm pain secondary to compression of the medial antebrachial cutaneous nerve at the elbow. Arch Phys Med Rehabil 1993, 74:540–42. Yuan RT, Cohen MJ: Lateral antebrachial cutaneous nerve injury as a complication of phlebotomy. Plast Reconstr Surg 1985, 76:299–300. Berry PR, Walls WE: Venipuncture nerve injuries. The Lancet 1977, 1236–7.