• Surgical trainees neuropraxia? An unusual case of compression of the lateral cutaneous nerve of the forearm.

      Seoighe, D M; Baker, J F; Mulhall, K J; Department of Plastic and Reconstructive Surgery, Mater Misericordiae Hospital, Eccles Street, Dublin 7, Ireland. deirdre.seoighe@gmail.com (2010-09)
      Compression of the lateral cutaneous nerve of the forearm is an uncommon diagnosis but has been associated with strenuous upper limb activity. We report the unique case of a 32-year-old male orthopaedic trainee who suffered this nerve palsy as a result of prolonged elbow extension and forearm pronation while the single assistant during a hip resurfacing procedure. Conservative measures were sufficient for sensory recovery to be clinically detectable after 12 weeks.
    • Technique of extracting a compression intramedullary nail that preserves knee arthrodesis.

      Murphy, Terence P; Mulhall, Kevin J; Department of Orthopaedic Surgery, Mater Misericordiae University Hospital, Dublin, Ireland. terencepmurphy@gmail.com (2011-06)
    • Transient isolated lingual nerve neuropraxia associated with general anaesthesia and laryngeal mask use: two case reports and a review of the literature.

      Foley, E; Mc Dermott, T E D; Shanahan, E; Phelan, D; Department of Anaesthesia and Intensive Care, Mater Hospital, Dublin, Ireland., edfoley@eircom.net (2012-02-01)
      BACKGROUND: Transient, isolated lingual nerve neuropraxia is a rare complication following general anaesthesia. Reports implicate airway manipulation and we describe two new cases associated with laryngeal mask airway (LMA) and review the related English language literature. RESULTS: Unilateral numbness and loss of taste on the anterior tongue were the characteristic symptoms. Collation of literature data (median and range) with that from the new cases showed: patient age was 38 (20-61) years and female to male ratio was 1.2:1. Surgery time was 62.5 (20-150) min and symptom duration was 28 (7-120) days. CONCLUSION: Lingual neuropraxias reported have been transient and patients can be advised, despite disturbing symptoms, that recovery is anticipated in about 1 month. Lingual neuropraxia reports are becoming more frequent, perhaps associated with increasing LMA use. Research is recommended as modification to LMA cuff volume, pressure and/or position within the oral cavity might ameliorate the entity.
    • What do you think of us? Evaluating patient knowledge of and satisfaction with a psychiatric outpatient service.

      Jabbar, F; Casey, P; Schelten, S L; Kelly, B D; Department of Adult Psychiatry, Mater Misericordiae University Hospital, University College Dublin, 62/63 Eccles Street, Dublin 7, Ireland. (2011-03)
      This study aimed to measure patient satisfaction with the care they were receiving; examine patients' knowledge of the psychiatric services in general; and identify variables associated with satisfaction.