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Brachial plexus injury following liver transplantation

Department of Neurology, University of Pittsburgh, Presbyterian, University Hospital, Pittsburgh. PA.

We examined 7 adults with brachial plexus injury following liver transplantation; they were among 120 transplants performed over a 10-month period (incidence, 5.8%). The lesion was right-sided in 5 patients, left-sided in 1, and bilateral in 1. The affected side correlated with the axillary veno-venous shunt in 3 lesions only. All noted weakness and sensory lose shortly after recovery from general anesthesia. The EMG examination indicated axonal lesions, and recovery was protracted.

Address correspondence and reprint requests to Dr. Katirji, Department of Neurology, Case Western Reserve University, University Hospitals of Cleveland, 2074 Abington Road, Cleveland, OH 44106.

Presented in part at the thirty-fourth annual meeting of the American Association of Electromyography and Electrodiagnosis, San Antonio, TX. October 1987.

Received August 15,1988. Accepted for publication in final form November 8, 1988.

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