LIỆT ĐÁM RỐI CÁNH TAY SAU PHẪU THUẬT CẮT U SẮC TỐ BẨM SINH VÙNG LƯNG: BÁO CÁO 1 TRƯỜNG HỢP LÂM SÀNG

Abstract

Postoperative nerve paralysis is a rare complication but can result in severe consequences for patients and pose significant legal challenges for anesthesiologists. In addition to clear causes such as direct injury during surgery or procedures, nerve stretching or compression is widely recognized by many authors as a primary cause of perioperative peripheral nerve damage. Anesthesiologists must understand these mechanisms to minimize the risk of postoperative nerve injuries. Early detection of symptoms and timely intervention are critical to promoting nerve recovery. We report a case involving a 5-year-old patient who developed unilateral brachial plexus paralysis caused by stretching of the brachial plexus following the surgical excision of a congenital melanocytic nevus in the back under general anesthesia. Signs of nerve paralysis were detected immediately after extubation, and intervention was promptly implemented. Sutures at the skin margins were removed to relieve compression, and physical rehabilitation was initiated early postoperative. The patient fully recovered sensation and motor function within 12 weeks.