RESUMO
A 76-year-old woman with a great multi-nodular goitre and no neurological deficits suffered from increasing pain of the lateral upper arm. A combination of nerve blockades and physical measures was not effective in terms of continuous pain control. Subtotal thyroidectomy resulted in a long-term complete pain relief. The underlying mechanism is explained as a compression of the superior trunk of brachial plexus by a goitre. In future a goitre should be taken into consideration in the aetiology of a brachialgia.
Assuntos
Braço , Bócio/complicações , Dor/etiologia , Idoso , Feminino , HumanosRESUMO
One hundred fifty successful blockades of the lateral cutaneous nerve of the thigh according to the technique of Eriksson with 7-10 ml prilocaine 1% or bupivacaine 0.25% for meralgia paresthetica resulted unexpectedly in 4 cases of complete and 5 cases of partial motor block of the femoral nerve. The fully reversible paralysis or paresis of parts of the lower limb following blockade of the lateral cutaneous nerve of the thigh is explained as a partial 3-in-1 block.