Download PDF
J Brachial Plex Peripher Nerve Inj 2011; 06(01): e38-e39
DOI: 10.1186/1749-7221-6-5
Case report
Asheghan et al; licensee BioMed Central Ltd.

Paresthesia and forearm pain after phlebotomy due to medial antebrachial cutaneous nerve injury[*]

Mahsa Asheghan
1   Department of Physical Medicine and Rehabilitation, Baghyatollah Hospital, Baghyatollah University of Medical Sciences, Mollasadra Street, Tehran, Iran
,
Amidoddin Khatibi
1   Department of Physical Medicine and Rehabilitation, Baghyatollah Hospital, Baghyatollah University of Medical Sciences, Mollasadra Street, Tehran, Iran
,
Mohammad Taghi Holisaz
1   Department of Physical Medicine and Rehabilitation, Baghyatollah Hospital, Baghyatollah University of Medical Sciences, Mollasadra Street, Tehran, Iran
› Author Affiliations
Subject Editor:
Further Information

Publication History

05 January 2011

06 September 2011

Publication Date:
23 September 2014 (online)

Also available at
   Permissions and Reprints

Abstract

Back ground Although phlebotomy is a common procedure, there is limited information concerning to documented complications of venipuncture.

Case presentation A 45 year old left- handed woman was refered for elecrodiagnostic study with dysesthesia and pain in left medial forearm. She noted these symptoms three weeks after phelebotomy. Electrodiagnostic study showed severe involvement of left side Medial Antebrachial Cutaneous nerve (MAC nerve).

Conclusion Phelebotomy is a cause of MAC nerve injury. Electrodiagnostic testing can be helpful in evaluating cases of sensory disturbance after phlebotomy.

*This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


 

  • References

  • 1 Edwards WC, Fleming LL. Radial nerve palsy at the elbow following venipuncture-case report. J Hand Surgery [Am] 1981; 6: 486-9
    PubMedGoogle Scholar
  • 2 Stitik TP, Foye PM, Nadler SF, Bruchman GO. Phlebotomy related lateral antebrachial cutaneous nerve injury-case report. Am J Phy Med Rehabil 2001; 80: 230-4 10.1097/00002060-200103000-00016
    CrossrefPubMedGoogle Scholar
  • 3 Sander HW, Conigliari M, Masdeu JC. Antecubital phlebotomy complicated by lateral antebrachial cutaneous neuropathy. N Engl J Med 1998; 339: 2024 9882206
    PubMedGoogle Scholar
  • 4 Rayegani SM, Azadi A. Lateral antebrachial cutaneous nerve injury induced by phlebotomy. J Brachial Plex Peripher Nerve Inj 2007; 2: 6 10.1186/1749-7221-2-6 1847431 17359520
    Article in Thieme ConnectPubMedGoogle Scholar
  • 5 Daneil Dumitru. Electrodiagnostic medicine. second HANLEY & BELFUS; 2002
    Google Scholar
  • 6 Richards RR, Regan WD. Medial epicondylitis caused by injury to the medial antebrachial cutaneous nerve: a case report. Can J Surg 1989; 32: 366-7 2766143
    PubMedGoogle Scholar
  • 7 Horowitz SH. Peripheral nerve injury and causalgia secondary to routine venipuncture. Neurology 1994; 44: 962-64 8190306
    CrossrefPubMedGoogle Scholar
  • 8 Sarris I, Göbel F, Gainer M, Vardakas DG, Vogt MT, Sotereanos DG. Medial brachial and antebrachial cutaneous nerve injuries: Effect on outcome in revision cubital tunnel surgery. J Reconst Microsurg 2002; 18: 665-70 10.1055/s-2002-36497
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Lowe JB, Maggi SP, Mackinnon SE. The position of crossing branches of the medial antebrachial cutaneous nerve during cubital tunnel surgery in humans. Plast Reconstr Surg 2004; 114: 692-96 10.1097/01.PRS.0000130966.16460.3C 15318047
    CrossrefPubMedGoogle Scholar
  • 10 Stahl S, Rosenberg N. Surgical treatment of painful neuroma in medial antebrachial cutaneous nerve. Ann Plast Surg 2002; 48: 154-60 10.1097/00000637-200202000-00007 11910220
    CrossrefPubMedGoogle Scholar
  • 11 Kelly EW, Morrey BF, O’Driscoll SW. Complications of elbow arthroscopy. J Bone Joint Surg Am 2001; 83-A: 25-348 11685840
    PubMedGoogle Scholar
  • 12 Chiu YN, Huang YL, Chang CW. Medial antebrachial cutaneous neuropathy: a case report. Electromyogr Clin Neurophysiol 2008; 48: 125-7 18435217
    PubMedGoogle Scholar
  • 13 Chang CW, Ho SJ. Medial antebrachial cutaneous neuropathy. Case report Electromyogr Clin Neurophysiol 1988; 28: 3-5
    PubMedGoogle Scholar
  • 14 Martins RS, Siqueira MG, Carvalho AAS. A case of isolated tuberculoid leprosy of antebrachial medial cutaneous nerve. Neurol Sci 2004; 25: 216-19 10.1007/s10072-004-0324-2 15549507
    CrossrefPubMedGoogle Scholar
  • 15 Seror P. Forearm pain secondary to compression of the medial antebrachial cutaneous nerve at the elbow. Arch Phys Med Rehabil 1993; 74: 540-42 10.1016/0003-9993(93)90121-P 8489367
    CrossrefPubMedGoogle Scholar
  • 16 Yuan RT, Cohen MJ. Lateral antebrachial cutaneous nerve injury as a complication of phlebotomy. Plast Reconstr Surg 1985; 76: 299-300 4023102
    PubMedGoogle Scholar
  • 17 Berry PR, Walls WE. Venipuncture nerve injuries. The Lancet 1977; 1236-7
    PubMedGoogle Scholar