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Peripheral nerve injury and causalgia secondary to routine venipuncture

Department of Neurology, Albany Medical Center, Albany, NY.

Article abstract I examined 11 patients with upper-extremity causalgia secondary to peripheral nerve injury occurring during routine venipuncture. The nerves affected were the medial (n = 5) and lateral (n = 2) antebrachial cutaneous in the antecubital fossa, the superficial radial at the wrist (n = 2), and the dorsal sensory branches in the hand (n = 2). Anatomically, nerves lie on a plane just beneath and in close proximity to veins, making them vulnerable to injury during the procedure.

Address correspondence and reprint requests to Dr. Steven H. Horowitz, Department of Neurology (A-70), Albany Medical Center, Albany, NY 12208.

Received August 24, 1993. Accepted for publication in final form November 1,1993.

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