Ultrasound-guided perineural injection with dextrose for treatment of radial nerve palsy: A case report.

Perineural injection with dextrose could be a novel intervention for peripheral entrapment neuropathy. However, this intervention has not been reported for treating radial nerve palsy (RNP). Here, we present a case with RNP having outstanding improvement after 2 sessions of ultrasound-guided perineural injection with 5% dextrose (D5W). A 62-year-old woman presented with difficulty and weakness in extension of her left wrist and fingers after she slept with the arm compressed against her body. On the basis of the findings of electrophysiological study and ultrasonography, the RNP with axonal injury was diagnosed. Initially, the patient received 2-months conservative treatments without any improvement. Two sessions of ultrasound-guided perineural injection with total 15cc D5W with an interval of 1 month were performed 2 months after symptom onset. A noteworthy improvement in sensory and motor functions was observed after ultrasound-guided perineural injection with D5W. This case shows that ultrasound-guided perineural injection with D5W may be an effective and novel intervention for RNP.

Citation

Si-Ru Chen, Yu-Ping Shen, Tsung-Yen Ho, Liang-Cheng Chen, Yung-Tsan Wu. Ultrasound-guided perineural injection with dextrose for treatment of radial nerve palsy: A case report. Medicine. 2018 Jun;97(23):e10978

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PMID: 29879053

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