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NEUROLOGY 1986;36:1370
© 1986 American Academy of Neurology

Compartment syndromes and compression neuropathies in coma

Robert W. Shields, Jr, MD, Kenneth E. Root, Jr, DO and Asa J. Wilbourn, MD

Departments of Neurology, Case Western Reserve University School of Medicine at Cleveland Metropolitan General Hospital (Dr. Shields) and the Cleveland Clinic Foundation (Drs. Root and Wilbourn), Cleveland, OH; Dr. Root is also in private practice in Phoenix, AZ.

Eight patients are reported who developed peripheral nerve injuries due to limb compression during unattended coma. In each patient, the site of the peripheral nerve lesion or the unique combination of peripheral nerve lesions and swollen limbs, pressure blisters, or myoglobinuria indicated that compartment syndromes caused the nerve injury. The peripheral nerve injuries were characterized by severe axonal loss with persistent and often disabling sequelae.

Address correspondence and reprint requests to Dr. Shields, Department of Neurology, Cleveland Metropolitan General Hospital, 3395 Scranton Road, Cleveland, OH 44109.

Accepted for publication February 4, 1986.




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