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Case Reports
. 2013 Apr-Jun;3(2):25-8.
doi: 10.13107/jocr.2250-0685.097.

Acute Compressive Ulnar Neuropathy In A Patient Of Dengue Fever: An Unusual Presentation

Anil K Mehtani  1 , Ashutosh Jha  1 , Himanshu Kataria  1 , Vivek Jangira  1 , Ajay Shukla  2
Affiliations
Case Reports

Acute Compressive Ulnar Neuropathy In A Patient Of Dengue Fever: An Unusual Presentation

Anil K Mehtani et al. J Orthop Case Rep. 2013 Apr-Jun.

Abstract

Introduction: Dengue haemorrhagic fever is known for its haemorrhagic and neurologic complications. Neurologic complications are caused by three mechanism namely neurotropism, systemic complications causing encephalopathy and postinfectious immune-mediated mechanisms. However acute compressive neuropathy due to haemorrhage is not frequent and we could find no literature describing this.

Case report: We report a case of acute compressive ulnar neuropathy due to peri neural hematoma, following an attempt at intravenous cannulation in the cubital fossa in a patient of dengue haemorrhagic fever with thrombocytopenia. Immediate fasciotomy and removal of haematoma was performed to relieve the symptoms.

Conclusion: Compression neuropathies can be seen in dengue hemorrhagic fever and removal of compressing hematoma relieves symptoms.

Keywords: Dengue haemmorrhagic fever; coagulopathy; peri neural haematoma.

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Conflict of interest statement

Conflict of Interest: Nil

Figures

Figure 1
Figure 1
Swelling of proximal 1/3rd of forearm with evidence of IV cannulation in cubital fossa
Figure 2
Figure 2
ulnar claw hand
Figure 3
Figure 3
Fasciotomy of volar compartment of forearm
Figure 4
Figure 4
Significant motor recovery but persisting Weakness of 4th palmar interossei
See this image and copyright information in PMC

References

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