Compartment syndrome of forearm and hand as complication of prone position during neurosurgery operation

摘要

We present a case of compartment syndrome (CS) after neurosurgical operation where patient was 6 hours in prone position with forearm and hand beneath his chest. Clinical signs were confirmed with measuring of intra-compartmal pressure (ICP), and fasciotomy of forearm and hand were performed. After 3 months of rehabilitation all movements and strength in hand and fingers were come back. CS is a rare complication, but if unrecognized and untreated it can seriously damage extremities. Measuring of ICP is a simple and reliable diagnostic procedure in unclear cases and prompt fasciotomy is a salvage procedure with good results.