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KMID : 0948920120110010031
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Clinical Pain
2012 Volume.11 No. 1 p.31 ~ p.34
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Superficial Radial and Palmar Cutaneous Branch of Median Neuropathy in Lymphedema Patient Who Treated with Compression Therapy - A Case Report -
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Lee Won-Joon
Kim Joon-Sung
Seo Yu-Jung
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Abstract
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Lymphedema is commonly occur after breast cancer surgery and can worsen the patient’s life quality. So many treatments are tried to control lymphedema. Compression therapy is popular method to reduce volume of extremities in lymphedema patients. But, it can induce compressive neuropathy at fragile sites. We experienced a 45-year-old female who occurred with superficial radial and palmar cutaneous branch of median neuropathy after compression therapy. She complained numbness at right lateral and volar aspect of hand. So we did electromyography to explain that symptom. In superficial radial nerve study, amplitudes of sensory nerve action potential (SNAP) was decreased compared with the other side. In palmar cutaneous branch of median nerve study, not evoked potential in right side. We think that in patients who were treated with compressive therapy such as bandage, we should pay attention to the possibility of compressive nerve injury.
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KEYWORD
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Lymphedema, Compression therapy, Neuropathy
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