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Compressive Neuropathy of the Brachial Plexus and Long Thoracic Nerve* : A Rare Complication of Heparin Anticoagulation

Ahmad A. Elesber, MD; Peter D. Kent, MD; Constance A. Jennings, MD, FCCP
Chest. 2001;120(1):309-311. doi:10.1378/chest.120.1.309
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We present a case of a 69-year-old woman who developed brachial plexopathy and long thoracic nerve palsy secondary to compression from a hematoma while receiving heparin therapy for the treatment of a stroke. The patient was treated conservatively with discontinuation of heparin and had complete resolution of her compressive neuropathy. This is the first report of a patient with long thoracic nerve palsy with a brachial plexopathy complicating anticoagulation. We review the literature on hematoma-induced compressive neuropathies and treatment options. Our review concludes by emphasizing the importance of clinical judgment in determining the best therapeutic modality.

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