Peripheral neuropathy secondary to traction injury resulting from the use of physical restraints

Ramesh Sahathevan, B. Hamidon, T. Maniam, Raymond Azman Ali

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

We describe the case of a 46 year-old woman who developed weakness of the upper limbs while admitted for relapsed chronic schizophrenia. She was combative, necessitating the use of physical restraints in the form of wrist bands that were used to secure her to the bed frame. In addition, she was treated with haloperidol and benzhexol. Her physical findings were consistent with a lower motor neuron injury confined to the upper limbs and a nerve conduction study confirmed a mixed demyelinating axonal injury resulting in a predominantly motor neuropathy. She made an almost complete recovery by 6 months. We suggest that her condition was due to neuropraxia secondary to traction injury affecting the brachial plexus as an indirect consequence of the use of physical restraints.

Original languageEnglish
Pages (from-to)267-269
Number of pages3
JournalNeurology Asia
Volume15
Issue number3
Publication statusPublished - Dec 2010

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Physical Restraint
Traction
Peripheral Nervous System Diseases
Upper Extremity
Wounds and Injuries
Trihexyphenidyl
Brachial Plexus
Neural Conduction
Motor Neurons
Haloperidol
Wrist
Schizophrenia

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

Cite this

Peripheral neuropathy secondary to traction injury resulting from the use of physical restraints. / Sahathevan, Ramesh; Hamidon, B.; Maniam, T.; Ali, Raymond Azman.

In: Neurology Asia, Vol. 15, No. 3, 12.2010, p. 267-269.

Research output: Contribution to journalArticle

Sahathevan, Ramesh ; Hamidon, B. ; Maniam, T. ; Ali, Raymond Azman. / Peripheral neuropathy secondary to traction injury resulting from the use of physical restraints. In: Neurology Asia. 2010 ; Vol. 15, No. 3. pp. 267-269.
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