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- Title
Idiopathic brachial plexopathy after pacemaker implant.
- Authors
Kumar, Devesh; Singal, Aayush K; Bansal, Raghav; Das, Animesh; Rangarajan, Krithika; Kumar, Atin
- Abstract
A middle‐aged woman presented with symptomatic complete heart block and underwent an uneventful dual chamber pacemaker implantation. Three weeks post procedure, she developed left arm pain and weakness, with neurological localization to the lower trunk of left brachial plexus. Possibilities of traumatic compression by the device/leads or postoperative idiopathic brachial plexopathy were considered. After ruling out traumatic causes, she was started on oral steroids, to which she responded remarkably. This case highlights the importance of recognizing this rare cause of brachial plexopathy following pacemaker implantation, because not only does an expedited diagnosis and medical treatment lead to prompt recovery with minimal neurological deficits, but it also circumvents an unnecessary surgical re‐exploration.
- Subjects
STEROID drugs; BRACHIAL plexus neuropathies; PAIN; ORAL drug administration; IMPLANTABLE cardioverter-defibrillators; HEART block; ARM; MUSCLE weakness; BRACHIAL plexus; CARDIAC pacemakers; EQUIPMENT &; supplies
- Publication
Pacing & Clinical Electrophysiology, 2022, Vol 45, Issue 4, p574
- ISSN
0147-8389
- Publication type
Article
- DOI
10.1111/pace.14421