{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T04:21:04Z","timestamp":1770351664269,"version":"3.49.0"},"reference-count":52,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"20","license":[{"start":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T00:00:00Z","timestamp":1699833600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,11,13]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>The authors describe a rare case of transient postoperative wrist and finger drop following a prone position minimally invasive surgery (MIS) lateral microdiscectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>Hand and wrist drop is an unusual complication following spine surgery, especially in prone positioning. The authors\u2019 multidisciplinary team assessed a patient with this complication following MIS lateral microdiscectomy. The broad differential diagnosis included radial nerve palsy, C7 radiculopathy, stroke, and spinal cord injury. Given the patient\u2019s supinator weakness, intact pronation and wrist flexion, and transient recovery within 4 weeks, the most likely diagnosis was radial nerve neuropraxia secondary to ischemic compression. After careful consideration of the operative environment and anatomical constraints, the patient\u2019s blood pressure cuff was found to be the most probable source of compression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Blood pressure cuff\u2013induced peripheral nerve injury may be a source of postoperative radial nerve neuropraxia in patients undergoing spine surgery. Careful considerations must be given to the blood pressure cuff location, which should not be placed at the distal end of the humerus due to higher susceptibility of peripheral nerve compression. Spine surgeons should be aware of and appropriately localize postoperative deficits along the neuroaxis, including central versus proximal or distal peripheral injuries, in order to guide appropriate postoperative management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case23468","type":"journal-article","created":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T18:53:54Z","timestamp":1699901634000},"source":"Crossref","is-referenced-by-count":0,"title":["Blood pressure cuff\u2013induced radial nerve palsy following minimally invasive lateral microdiscectomy: illustrative case"],"prefix":"10.3171","volume":"6","author":[{"given":"Ziad","family":"Rifi","sequence":"first","affiliation":[{"name":"David Geffen School of Medicine and"},{"name":"Department of Neurosurgery, University of California, Los Angeles, Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jasmine A","family":"Thum","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of California, San Francisco, San Francisco, California; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret S","family":"Sten","sequence":"additional","affiliation":[{"name":"Georgetown University School of Medicine, Georgetown University, Washington, DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy J","family":"Florence","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of California, Los Angeles, Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J","family":"Dorsi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of California, Los Angeles, Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"10","key":"b1","series-title":"Anaesthesia","first-page":"980","article-title":"Peripheral nerve injuries associated with anaesthesia","volume":"55","author":"Sawyer RJ","year":"2000","unstructured":"Sawyer RJ, Richmond MN, Hickey JD, Jarrratt JA. Peripheral nerve injuries associated with anaesthesia. Anaesthesia. 2000;55(10):980\u2013991."},{"key":"b2","series-title":"Can Anaesth Soc J","first-page":"514","article-title":"Peripheral nerve injuries associated with anaesthesia","volume":"11","author":"Britt BA","year":"1964","unstructured":"Britt BA, Gordon RA. Peripheral nerve injuries associated with anaesthesia. Can Anaesth Soc J. 1964;11:514\u2013536."},{"issue":"2","key":"b3","series-title":"Anesthesiology","first-page":"202","article-title":"Nerve injury associated with anesthesia","volume":"73","author":"Kroll DA","year":"1990","unstructured":"Kroll DA, Caplan RA, Posner K, Ward RJ, Cheney FW. Nerve injury associated with anesthesia. 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Nerve injury associated with anesthesia: a closed claims analysis. Anesthesiology. 1999;90(4):1062\u20131069."},{"issue":"3","key":"b5","series-title":"Anesthesiology","first-page":"289","article-title":"Nerve injuries following operations: a survey of cases occurring during a six-year period","volume":"11","author":"Dhvn\u00e9r KG","year":"1950","unstructured":"Dhvn\u00e9r KG. Nerve injuries following operations: a survey of cases occurring during a six-year period. Anesthesiology. 1950;11(3):289\u2013293."},{"issue":"4","key":"b6","series-title":"World J Orthop","first-page":"425","article-title":"Positioning patients for spine surgery: avoiding uncommon position-related complications","volume":"5","author":"Kamel I","year":"2014","unstructured":"Kamel I, Barnette R. Positioning patients for spine surgery: avoiding uncommon position-related complications. 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