In years past, a rather voluminous literature has accumulated dealing with certain neurologic and circulatory deficits that occur in the upper extremities. Cervical rib syndrome, scalenus anticus syndrome, Naffziger syndrome, and scalenus neurocirculatory compression syndrome are among the names applied to the variable symptom complex found present in a small percentage of individuals with abno...

BACKGROUND The purpose of this study was to evaluate the effect of dexamethasone or dexmedetomidine added to ropivacaine on the onset and duration of ultrasound-guided axillary brachial plexus blocks (BPB). METHODS Fifty-one ASA physical status I-II patients with elective forearm and hand surgery under axillary brachial plexus blocks were randomly allocated to receive 20 ml of 0.5% ropivacain...

Background and Objective: Pain is one of the most common complications after thyroidectomy. Opioid administration can overcome this complication, however, it has some side effects, including nausea and vomiting. So, the use of local anesthetic instead of opioids is a good alternative. This study was conducted to evaluate and compare the effect of ultrasound-guided superficial cervical plexus bl...

A 53-year-old man abruptly developed headache and unconsciousness. Brain computed tomography (CT) and CT angiography showed subarachnoid hemorrhage, intraventricular hemorrhage, and multiple tortuous vascular structures on the brain stem and upper cervical spinal cord. Four-vessel angiography displayed intradural ventral arteriovenous fistula, supplied by the left vertebral and occipital arteri...

Neurologic signs and symptoms of brachial plexopathy may be subtle or confusing, making clinical localization of disease along the length of the brachial plexus difficult. To determine the most direct radiographic approach to diagnosing and anatomically delineating the cause of brachial plexopathy, we reviewed the clinical and radiographic records of 43 patients presenting with signs and sympto...

We studied a consecutive series of 58 patients with penetrating missile injuries of the brachial plexus to establish the indications for exploration and review the results of operation. At a mean of 17 weeks after the initial injury, 51 patients were operated on for known or suspected vascular injury (16), severe persistent pain (35) or complete loss of function in the distribution of one or mo...