0:01

So this is a very interesting case.

0:02

This is a radiologist

0:05

and, um, he had gotten remarried,

0:09

he had lost his wife and was all excited about it.

0:11

Went on his honeymoon

0:14

and, um, he played, interestingly,

0:17

I'm not sure I would marry him.

0:19

He played two 18 holes of golf over a period

0:24

of about 14 hours on his honeymoon.

0:27

Um, then the next day he played a single 18 holes of golf

0:32

and then he went back to his room and they honeymooned.

0:36

Um, they went to sleep.

0:37

And when he woke up, he said his arm, uh, felt funny

0:41

and he also reported that his arm felt funny

0:43

before, uh, he went to sleep that evening.

0:46

He was on Eliquis, um, which we didn't know at the time.

0:49

We looked at this. And then when he went out

0:52

to play golf again, um, not the best way to to

0:56

to start a marriage out on the golf course the entire time,

1:00

uh, he couldn't grip the golf club.

1:03

And, uh, here we see his pronator, Terrys here.

1:07

So this is not a friction neuropathy this time,

1:10

but we do see the median nerve right here.

1:12

And in the lung axis you're gonna see how it

1:14

sits in very close proximity and,

1:17

and was compressed for a period of time by the head

1:22

of his new wife.

1:24

So we, we are postulating that he had a small tear, uh,

1:28

the wife's head rested on his arm.

1:30

He, he didn't want to tell his wife, his new wife,

1:33

that her head was too heavy, so he went to sleep

1:35

and that's how you get honeymoon paralysis.

1:38

And indeed he had it.

1:40

Um, and that is a name that is reported in the literature.

1:43

Cute little name. Let's look at the,

1:45

let's look at the long axis projection.

1:47

You can see this hematoma right here.

1:49

And then as you follow the ulnar nerve down right there,

1:52

it kind of dives right next to the hematoma.

1:56

And I suspect that it was a combination

1:58

of the mass effect from the hematoma

2:01

and the head of the new spouse that produced a,

2:05

a neuropraxia in this case.

2:07

Um, so this is my case of Pronator, Terri syndrome,

2:11

even though it is not a repetitive friction neuropathy.

2:14

And with that, I'm gonna turn it over to Dr.

2:18

Resnick and, um, we'll conclude.