Paresthesia and Motor Weakness of Left Shoulder after Interscalene Nerve Block: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 802-806, 1996.
Article
in Korean
| WPRIM
| ID: wpr-137081
ABSTRACT
Nerve injury can arise as a complication of peripheral nerve block. Three factors are of special etiologic interest nerve lesion due to the needle injury or intraneural injection; toxic effects of drugs injected overall when epinephrine is used; ischemic trauma. The symptoms of such nerve lesions are dysesthesia, motor weakness or paralysis. We report a case of severe neurologic symptoms of left shoulder after interscalene nerve block in a 23-year-old ASA I male patient. Interscalene block utilizing nerve stimulator and elicitation of paresthesia was performed smoothly for incision and drainage of 2nd finger mass. Total 30 cc of 2% lidocaine with epinephrine was used. After the procedure, the patient developed a severe dysesthesia and motor weakness of left shoulder which gradually improved over the next 6 months through the extensive rehabilitation program. The block should be handled with care rough paresthesia seeking techniques and intraneural injections should be avoided; short bevel needles and plain solutions should be used to avoid complications.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paralysis
/
Paresthesia
/
Peripheral Nerves
/
Rehabilitation
/
Shoulder
/
Epinephrine
/
Drainage
/
Fingers
/
Lidocaine
/
Needles
Limits:
Humans
/
Male
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
1996
Type:
Article
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