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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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Main Authors: Sahathevan, Ramesh, Hamidon, Basri, Maniam, Thambu, Azman Ali, Raymond
Format: Article
Language:English
Published: ASEAN Neurological Association 2010
Online Access:http://psasir.upm.edu.my/id/eprint/16146/
http://www.neurology-asia.org/
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spelling my.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/ English
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
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.
format Article
author Sahathevan, Ramesh
Hamidon, Basri
Maniam, Thambu
Azman Ali, Raymond
spellingShingle Sahathevan, Ramesh
Hamidon, Basri
Maniam, Thambu
Azman Ali, Raymond
Peripheral neuropathy secondary to traction injury resulting from the use of physical restraints
author_facet Sahathevan, Ramesh
Hamidon, Basri
Maniam, Thambu
Azman Ali, Raymond
author_sort Sahathevan, Ramesh
title 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_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_sort peripheral neuropathy secondary to traction injury resulting from the use of physical restraints
publisher ASEAN Neurological Association
publishDate 2010
url http://psasir.upm.edu.my/id/eprint/16146/
http://www.neurology-asia.org/
_version_ 1643826124911804416
score 13.211869

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