• Medicine · Jun 2018

    Case Reports

    Ultrasound-guided perineural injection with dextrose for treatment of radial nerve palsy: A case report.

    • Si-Ru Chen, Yu-Ping Shen, Tsung-Yen Ho, Liang-Cheng Chen, and Yung-Tsan Wu.
    • Department of Medicine.
    • Medicine (Baltimore). 2018 Jun 1; 97 (23): e10978.

    RationalePerineural injection with dextrose could be a novel intervention for peripheral entrapment neuropathy. However, this intervention has not been reported for treating radial nerve palsy (RNP). Here, we present a case with RNP having outstanding improvement after 2 sessions of ultrasound-guided perineural injection with 5% dextrose (D5W).Patient ConcernsA 62-year-old woman presented with difficulty and weakness in extension of her left wrist and fingers after she slept with the arm compressed against her body.DiagnosesOn the basis of the findings of electrophysiological study and ultrasonography, the RNP with axonal injury was diagnosed.InterventionsInitially, the patient received 2-months conservative treatments without any improvement. Two sessions of ultrasound-guided perineural injection with total 15cc D5W with an interval of 1 month were performed 2 months after symptom onset.OutcomesA noteworthy improvement in sensory and motor functions was observed after ultrasound-guided perineural injection with D5W.LessonsThis case shows that ultrasound-guided perineural injection with D5W may be an effective and novel intervention for RNP.

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