• Der Unfallchirurg · Apr 2002

    Case Reports

    [Complete brachial plexus paralysis caused by compartment syndrome in heroin intoxication].

    • U Jost, G Mayer, and T Rossmanith.
    • Caritas-Krankenhaus Bad Mergentheim, Akademisches Lehrkrankenhaus der Universität Heidelberg, Zentrum für Anästhesiologie.
    • Unfallchirurg. 2002 Apr 1; 105 (4): 392-4.

    AbstractWe report the case of a young man with heroin intoxication. While deeply unconscious, he sustained a compartment syndrome of the arm and shoulder region leading to a lesion of the upper plexus. Immediate surgical decompression by fasciotomy incisions, intensive care treatment including hemofiltration to treat myoglobinemia, intense physical exercise, and mesh-grafting closure of the wounds soon led to unexpected recovery. The function of the arm was restored in such a way that the patient was able to intoxicate himself again. He needed intubation and ventilation but recovered uneventfully.

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