Spinal nerve composition and innervation of the axillary nerve.

INTRODUCTION: The purpose of this study was to evaluate the spinal nerve composition of the axillary nerve and the contribution of each spinal nerve. METHODS: Thirty brachial plexi extracted from Korean adults (15 men, 14 women, 1 unknown; left side, 13; right side, 17) were examined in this study. RESULTS: The frequency of the contribution of C4 was 13.3%, and it was mainly innervated the deltoid and teres minor muscles. The frequency of inclusion of C7 was 20.0%. C7 fibers were mainly involved in the deltoid and cutaneous branches. The axillary nerve was primarily composed of fibers from C5 and C6 in 66.6%; C4, C5, and C6 in 13.3%; and C5, C6, and C7 in 20.0%. CONCLUSIONS: These findings may be helpful to diagnose damage to axillary nerve structures that occur in such injuries as humerus fractures.

Duration of remission phase of 36 Korean patients with glossopharyngeal neuralgia.

BACKGROUND: Glossopharyngeal neuralgia has the characteristic of a long remission phase between the pain attack phases. Although the concept of remission is very important for the treatment of patients with glossopharyngeal neuralgia, due to the rarity of the disease, clear statistical studies on the remission phase for glossopharyngeal neuralgia are almost non-existent. METHODS: Previous chart reviews and phone interviews were conducted on a total of 38 patients. Among these study subjects, two patients were excluded because of their known secondary glossopharyngeal neuralgia from their brain tumors. Hence, the average duration of remission was investigated on 36 patients with idiopathic glossopharyngeal neuralgia. RESULTS: For the 27 patients who experienced their first remission, the average duration of the remission was 3.1 years. Among them, the average duration of the second remission of the 17 patients was 2.5 years, and for 4 patients who experienced a third remission, the average duration of the remission phase was 1.9 years. CONCLUSIONS: The difference in the mean duration of the remission phase of the 1(st), 2(nd), and 3(rd) are not statistically significant, and the occurrence rate of the left or right side and of the gender, male or female, are also statistically insignificant. However, it is possible to infer that a patient might face a pain attack phase when his or her remission phase has lapsed for about three years. This prediction may be applied when developing treatment plans for patients with glossopharyngeal neuralgia.

Respiratory insufficiency in a patient with preeclamsia and hypothyroidism developed after general anesthesia for emergency cesarean section: A case report.

Anesthesia and surgery in a patients with undiagnosed or untreated hypothyroidism can carries the risk of potential complications such as prolonged unconsciousness, respiratory insufficiency, hypotension, hyponatremia, congestive heart failure, and even coma. A 33-year-old gravida was admitted at 36 weeks gestation with hypertension, proteinuria, generalized edema, and intrauterine fetal growth retardation. She had thyroidectomy for thyroid mass six years ago. Because of doubt of uterine abruption, emergency cesarean section was performed without result of thyroid function test. Preeclamsia and mild hypothyroidism show similar symptoms and it can make difficult to diagnose hypothyroidism. We experienced delayed recovery and respiratory insufficiency in a patient with preeclamsia and undetected hypothyroidism during emergence from general anesthesia. She was fully recovered after ventilatory care in intensive care unit.