Ulnar Neuropathy Associated With Subdermal Contraceptive Implant

Autor:	D McMillian, R Marin
Rok vydání:	1998
Předmět:	Adult Drug Implants medicine.medical_specialty business.industry Peripheral Nervous System Diseases Levonorgestrel General Medicine medicine.disease Ulnar neuropathy Surgery Peripheral neuropathy Contraceptive Agents Female medicine Humans Female Implant Headaches medicine.symptom Ulnar nerve Contraceptive implant business Ulnar Nerve Acne medicine.drug
Zdroj:	Southern Medical Journal. 91:875-878
ISSN:	0038-4348
DOI:	10.1097/00007611-199809000-00017
Popis:	Side effects are a common occurrence in the use of subdermal contraceptive implants (Norplant); approximately 70% to 80% of women using the device report abnormal uterine bleeding, headaches, acne, mastalgia, nervousness, appetite changes, and weight gain. Local implant site reactions range from 0.4% to 4.7%, with pain being the most common. Other insertion site complications include infection and implant expulsion. Only three cases have been described in the literature concerning implant site-related neuropathy, involving the sensory branch of the musculocutaneous nerve (lateral cutaneous nerve) in two cases and the antebrachial cutaneous nerve in the third case. We believe our report is the first case of an axonal loosing motor and sensory ulnar neuropathy associated with the removal of a subdermal contraceptive implant (Norplant). We review insertion site complications and their most likely causes. Also, we discuss alternative removal techniques for difficult-to-remove implants.
Databáze:	OpenAIRE
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