Acute Compressive Ulnar Neuropathy in a Patient of Dengue Fever: An Unusual Presentation
Introduction: Dengue haemorrhagic fever is known for its haemorrhagic and neurologic complications. Neurologic complications are caused by three mechanism namely neurotropism, systemic complications causing encephalopathy and postinfectious immune-mediated mechanisms. However acute compressive neuro...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Indian Orthopaedic Research Group
2013-04-01
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| Series: | Journal of Orthopaedic Case Reports |
| Online Access: | http://www.jocr.co.in/wp/2013/04/13/2250-0685-097-fulltext/ |
| Summary: | Introduction: Dengue haemorrhagic fever is known for its haemorrhagic and neurologic complications. Neurologic complications are caused by three mechanism namely neurotropism, systemic complications causing encephalopathy and postinfectious immune-mediated mechanisms. However acute compressive neuropathy due to haemorrhage is not frequent and we could find no literature describing this
Case Report: We report a case of acute compressive ulnar neuropathy due to peri neural hematoma, following an attempt at intravenous cannulation in the cubital fossa in a patient of dengue haemorrhagic fever with thrombocytopenia. Immediate fasciotomy and removal of haematoma was performed to relieve the symptoms.
Conclusion: Compression neuropathies can be seen in dengue hemorrhagic fever and removal of compressing hematoma relieves symptoms.
Keywords: Dengue haemmorrhagic fever; coagulopathy; peri neural haematoma. |
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| ISSN: | 2250-0685 |