Isolated unilateral brachial plexus injury following carbon monoxide intoxication: a case report and literature review

作者全名：Liu, Shu; Sun, Houchao; Wang, Shengyuan; Liao, Jincheng; Yang, Xu; Cai, Zhiyou

作者地址：[Liu, Shu; Wang, Shengyuan; Liao, Jincheng; Cai, Zhiyou] Chongqing Med Univ, Chongqing, Peoples R China; [Liu, Shu; Wang, Shengyuan; Liao, Jincheng; Cai, Zhiyou] Chinese Acad Sci, Chongqing Inst Green & Intelligent Technol, Chongqing, Peoples R China; [Liu, Shu; Wang, Shengyuan; Liao, Jincheng; Cai, Zhiyou] Univ Chinese Acad Sci, Chongqing Sch, Chongqing, Peoples R China; [Liu, Shu; Sun, Houchao; Wang, Shengyuan; Liao, Jincheng; Yang, Xu; Cai, Zhiyou] Chongqing Gen Hosp, Dept Neurol, Chongqing, Peoples R China; [Liu, Shu; Sun, Houchao; Wang, Shengyuan; Liao, Jincheng; Yang, Xu; Cai, Zhiyou] Chongqing Univ, Chongqing Key Lab Neurodegenerat Dis, Chongqing, Peoples R China

通信作者：Cai, ZY (通讯作者)，Chongqing Med Univ, Chongqing, Peoples R China.; Cai, ZY (通讯作者)，Chinese Acad Sci, Chongqing Inst Green & Intelligent Technol, Chongqing, Peoples R China.; Cai, ZY (通讯作者)，Univ Chinese Acad Sci, Chongqing Sch, Chongqing, Peoples R China.; Cai, ZY (通讯作者)，Chongqing Gen Hosp, Dept Neurol, Chongqing, Peoples R China.; Cai, ZY (通讯作者)，Chongqing Univ, Chongqing Key Lab Neurodegenerat Dis, Chongqing, Peoples R China.

来源：FRONTIERS IN NEUROLOGY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001229291600001

JCR分区：Q2

影响因子：2.7

年份：2024

卷号：15

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：carbon monoxide intoxication; peripheral neuropathy; hyperbaric oxygen therapy; spinal cord ischemia; rehabilitation training

摘要：Carbon monoxide (CO) is a gas that has no odor or color, making it difficult to detect until exposure leads to coma or death. CO poisoning is one of the most common and deadly poisonings around the world. CO poisoning is a common and often fatal form of poisoning worldwide. A toxic effect of CO is tissue hypoxia, which leads to systemic complications. Additionally, there may be severe neurological symptoms and delayed complications following CO poisoning. However, peripheral neuropathy is relatively rare after CO poisoning. Previously, only one case of unilateral plexopathy after CO poisoning, accompanied by rhabdomyolysis and cognitive dysfunction, has been reported. In this report, an isolated unilateral brachial plexopathy following CO intoxication is described. A key mechanism in this case may be CO-induced spinal cord ischemia. Immediate administration of hyperbaric oxygen therapy (HBOT) is crucial to prevent peripheral neuropathy after acute CO intoxication. Hyperbaric oxygen therapy (HBOT) should be administered immediately after acute CO intoxication to prevent peripheral neuropathy. Additionally, peripheral neuropathy following acute CO intoxication may benefit from consistent rehabilitation training.

基金机构：Foundation of Capacity Improvement in Neurology Department of Chongqing [ZS03174]

基金资助正文：The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This work was supported by the Foundation of Capacity Improvement in Neurology Department of Chongqing (ZS03174).