{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T14:57:59Z","timestamp":1787497079365,"version":"build-2736575974"},"reference-count":12,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2022,4,29]],"date-time":"2022-04-29T00:00:00Z","timestamp":1651190400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Surgery-related isolated proximal median neuropathy is a rare complication. Brachial plexus injury is a possible complication after major cardiac surgery; however, isolated mononeuropathy is less frequently documented. We present an unusual case of isolated proximal median neuropathy after aortic dissection repair surgery in a 39-year-old man. Electrodiagnostic study and ultrasound examinations helped in localizing the lesion to the axillary region. Serial follow-ups showed improvement in electrodiagnostic parameters, which were compatible with clinical symptoms. Partial recovery was achieved at the seventh month follow-up. This case report aimed to increase awareness of nerve stretching during open heart surgery and demonstrate the diagnosis and clinical follow-up by concomitant use of electrodiagnostic and nerve ultrasound studies.<\/jats:p>","DOI":"10.3390\/medicina58050622","type":"journal-article","created":{"date-parts":[[2022,4,30]],"date-time":"2022-04-30T05:44:07Z","timestamp":1651297447000},"page":"622","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Isolated Proximal Median Neuropathy after Aortic Dissection Repair: Case Report"],"prefix":"10.3390","volume":"58","author":[{"given":"Yen-Yu","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei 112, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8242-3626","authenticated-orcid":false,"given":"Chao-Chun","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Far Eastern Memorial Hospital, New Taipei City 220, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia-Chi","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei 112, Taiwan"},{"name":"School of Medicine, National Yang Ming Chiao Tung University, Taipei 112, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5924-0066","authenticated-orcid":false,"given":"Po-Cheng","family":"Hsu","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei 112, Taiwan"},{"name":"School of Medicine, National Yang Ming Chiao Tung University, Taipei 112, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,4,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1002\/mus.880150320","article-title":"Proximal median neuropathies: Electromyographic and clinical correlation","volume":"15","author":"Gross","year":"1992","journal-title":"Muscle Nerve"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1016\/j.ncl.2021.06.005","article-title":"Electrodiagnostic Assessment of Uncommon Mononeuropathies","volume":"39","author":"Hayat","year":"2021","journal-title":"Neurol. Clin."},{"key":"ref_3","unstructured":"Preston, D.C., and Shapiro, B.E. (2020). Electromyography and Neuromuscular Disorders: Clinical-Electrophysiologic-Ultrasound Correlations, Elsevier, Inc.. [4th ed.]."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1055\/s-2005-865672","article-title":"Brachial plexus injury during open heart surgery--controlled prospective study","volume":"53","author":"Canbaz","year":"2005","journal-title":"Thorac. Cardiovasc. Surg."},{"key":"ref_5","first-page":"235","article-title":"Brachial plexus injury following median sternotomy","volume":"6","author":"Becit","year":"2007","journal-title":"Interact. Cardiovasc. Thorac. Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1055\/s-2007-1020000","article-title":"Brachial plexus lesions following median sternotomy in cardiac surgery","volume":"39","author":"Stangl","year":"1991","journal-title":"Thorac. Cardiovasc. 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