Triple peripheral Nerve Injury Accompanying to Traumatic Brain Injury: A Case Report

Abstract

Secondary injuries especially extremity fractures may be seen concurrently with traumatic brain injury (TB I). Peripheral nerve damages may accompany to these fractures and may be missed out, especially in acute stage. In this case report; damage of radial, ulnar and median nerves which was developed secondarily to distal humerus fracture that could not be detected in acute stage, in a patient who had motor vehicle accident (MVA). 29-year-old male patient was admitted with weakness in the right upper extremity 9 months ago, he had traumatic brain injury because of MVA. and fracture of distal humerus was detected in follow-ups. Upon the suspect of the peripheral nerve injury, the diagnosis was confirmed with ENMC. The patient responded well to the rehabilitation program treatment. In a TB I patient, it must be kept in mind that there might be a secondary trauma and therefore peripheral nerve lesions may accompany to TBI.