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Harsukh Educational Charitable Society International Journal of Community Health and Medical Research

Volume1Iissue 1 September-December 2015

Case Reports

Unusual neural arborization in Axilla-Case Report
S Gandhi, J Arora, V Mehta, R K Suri

The present paper attempts to highlight a rare case of neural arborization in axilla. Anatomical knowledge of variations in branching pattern of intercostobrachial nerve and medial cord of brachial plexus is essential for surgeons while conducting complicate dissection during mastectomy and other procedures involving the axilla. Intercostobrachial nerve is a vital structure which is sometimes damaged during axillary node dissection during mastectomy. This leads to an unfortunate sequelae of pain and paraesthesia. Intercostobrachial nerve is often also sacrificed during mastectomy. Hence awareness of variations of intercostobrachial nerve are of utmost importance to the present day anatomists and surgeons. The present study reports a unique unusual communication between the medial cord of brachial plexus and the intercostobrachial nerve associated with another communication between intercostobrachial nerve and third intercostal nerve. Knowledge of such rare variations is imperative for surgeons to avoid and hence minimize the risk of iatrogenic injury to medial cord, intercostobrachial nerve and third intercostal nerve. Keywords: Intercostobrachial nerve;Third intercostal nerve; Axilla

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