Peripheral neuropathy secondary to traction injury resulting from the use of physical restraints
We describe the case of a 46 year-old woman who developed weakness of the upper limbs while admitted for relapsed chronic schizophrenia. She was combative, necessitating the use of physical restraints in the form of wrist bands that were used to secure her to the bed frame. In addition, she was trea...
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| Format: | Article |
| Language: | English |
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ASEAN Neurological Association
2010
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| author | Sahathevan, Ramesh Hamidon, Basri Maniam, Thambu Azman Ali, Raymond |
| author_facet | Sahathevan, Ramesh Hamidon, Basri Maniam, Thambu Azman Ali, Raymond |
| author_sort | Sahathevan, Ramesh |
| collection | UPM |
| description | We describe the case of a 46 year-old woman who developed weakness of the upper limbs while admitted for relapsed chronic schizophrenia. She was combative, necessitating the use of physical restraints in the form of wrist bands that were used to secure her to the bed frame. In addition, she was treated with haloperidol and benzhexol. Her physical findings were consistent with a lower motor neuron injury confined to the upper limbs and a nerve conduction study confirmed a mixed demyelinating axonal injury resulting in a predominantly motor neuropathy. She made an almost complete recovery by 6 months. We suggest that her condition was due to neuropraxia secondary to traction injury affecting the brachial plexus as an indirect consequence of the use of physical restraints. |
| first_indexed | 2024-03-06T07:36:28Z |
| format | Article |
| id | upm.eprints-16146 |
| institution | Universiti Putra Malaysia |
| language | English |
| last_indexed | 2024-03-06T07:36:28Z |
| publishDate | 2010 |
| publisher | ASEAN Neurological Association |
| record_format | dspace |
| spelling | upm.eprints-161462013-06-27T07:23:52Z http://psasir.upm.edu.my/id/eprint/16146/ Peripheral neuropathy secondary to traction injury resulting from the use of physical restraints Sahathevan, Ramesh Hamidon, Basri Maniam, Thambu Azman Ali, Raymond We describe the case of a 46 year-old woman who developed weakness of the upper limbs while admitted for relapsed chronic schizophrenia. She was combative, necessitating the use of physical restraints in the form of wrist bands that were used to secure her to the bed frame. In addition, she was treated with haloperidol and benzhexol. Her physical findings were consistent with a lower motor neuron injury confined to the upper limbs and a nerve conduction study confirmed a mixed demyelinating axonal injury resulting in a predominantly motor neuropathy. She made an almost complete recovery by 6 months. We suggest that her condition was due to neuropraxia secondary to traction injury affecting the brachial plexus as an indirect consequence of the use of physical restraints. ASEAN Neurological Association 2010-12 Article PeerReviewed Sahathevan, Ramesh and Hamidon, Basri and Maniam, Thambu and Azman Ali, Raymond (2010) Peripheral neuropathy secondary to traction injury resulting from the use of physical restraints. Neurology Asia, 15 (3). pp. 267-269. ISSN 1823-6138 http://www.neurology-asia.org/ Peripheral neuropathy Schizophrenia Physical restraints English |
| spellingShingle | Peripheral neuropathy Schizophrenia Physical restraints Sahathevan, Ramesh Hamidon, Basri Maniam, Thambu Azman Ali, Raymond Peripheral neuropathy secondary to traction injury resulting from the use of physical restraints |
| title | Peripheral neuropathy secondary to traction injury resulting from the use of physical restraints |
| title_full | Peripheral neuropathy secondary to traction injury resulting from the use of physical restraints |
| title_fullStr | Peripheral neuropathy secondary to traction injury resulting from the use of physical restraints |
| title_full_unstemmed | Peripheral neuropathy secondary to traction injury resulting from the use of physical restraints |
| title_short | Peripheral neuropathy secondary to traction injury resulting from the use of physical restraints |
| title_sort | peripheral neuropathy secondary to traction injury resulting from the use of physical restraints |
| topic | Peripheral neuropathy Schizophrenia Physical restraints |
| work_keys_str_mv | AT sahathevanramesh peripheralneuropathysecondarytotractioninjuryresultingfromtheuseofphysicalrestraints AT hamidonbasri peripheralneuropathysecondarytotractioninjuryresultingfromtheuseofphysicalrestraints AT maniamthambu peripheralneuropathysecondarytotractioninjuryresultingfromtheuseofphysicalrestraints AT azmanaliraymond peripheralneuropathysecondarytotractioninjuryresultingfromtheuseofphysicalrestraints |