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 Volume 61, Number 8, October 28, 2003
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NEUROLOGY 2003;61:1037-1041
© 2003 American Academy of Neurology
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The medial brachial fascial compartment syndrome following axillary arteriography

Bryan E. Tsao, MD and Asa J. Wilbourn, MD

From The Cleveland Clinic, OH.

Address correspondence and reprint requests to Dr. Bryan E. Tsao, The Cleveland Clinic, S-90, 9500 Euclid Ave., Cleveland, OH 44195.

Objective: To review clinical and electrodiagnostic features of the medial brachial fascial compartment syndrome, a complication of percutaneous axillary vessel puncture.

Methods: The authors reviewed electrodiagnostic examinations over a 20-year period.

Results: This syndrome presents with weakness, pain, and numbness during or following the percutaneous procedure. Injury is characterized by axon loss and involves terminal nerves of the infraclavicular brachial plexus—most often the median nerve alone, followed by combinations of the median, ulnar, radial, and musculocutaneous nerves.

Conclusions: Early recognition of the medial brachial fascial compartment syndrome may lead to prompt surgical intervention, which, in turn, may prevent permanent nerve injury. Late diagnosis generally results in poor outcome and often results from delayed symptom onset and lack of overt compartment syndrome signs.

Received January 6, 2003. Accepted in final form June 17, 2003.

Presented in part at the 53rd annual meeting of the American Academy of Neurology; Philadelphia, PA; 2001.






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