Delayed Neurological Recovery After Ultrasound-Guided Brachial Plexus Block: A Case Report.

IF 1.5 Q3 ANESTHESIOLOGY

Local and Regional Anesthesia Pub Date : 2020-04-23 eCollection Date: 2020-01-01 DOI:10.2147/LRA.S250989

Ninadini Shrestha, Bipin Karki, Megha Koirala, Santosh Acharya, Pramesh Sunder Shrestha, Subhash Prasad Acharya

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引用次数: 2

Abstract

Introduction: Brachial plexus blocks are frequently practiced and safe mode of anaesthsia. Although minor complications may occur, major complications are a rarity. However, we report a rare case of prolonged supraclavicular brachial plexus block which required almost 4 months to recover without a perceivable cause.

Case presentation: A 22-year-old gentleman posted for open reduction and internal fixation of both forearm bones was administered an ultrasound-guided supraclavicular brachial plexus block. The intra-operative period was uneventful. However, the block persisted for a very prolonged period of time. All perceivable causes were ruled out. A total of 19 weeks was required for the entire block to regress with no residual neurological deficits thereafter.

Conclusion: Although peripheral neuropathies are known complications of peripheral nerve blocks, such a prolonged brachial plexus block is a rare event. The only plausible cause for the patient's condition could have been the prolonged drug effect; however, it has been rarely documented.

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Ultrasound-Guided臂丛神经阻滞后延迟神经恢复1例报告。

臂丛阻滞是常用且安全的麻醉方式。Although轻微并发症可能发生，严重并发症是罕见的。然而，我们报告一个罕见的病例延长锁骨上臂丛神经阻滞，需要近4个月的恢复没有明显的原因。病例介绍:一位22-year-old先生因前臂骨切开复位和内固定而接受ultrasound-guided锁骨上臂丛阻滞。术中一切顺利。然而，阻塞持续了很长一段时间。所有可察觉的原因都被排除了。总共需要19周的时间，整个街区才会恢复，此后没有残留的神经功能缺陷。结论:虽然周围神经病变是周围神经阻滞的并发症，但这种延长的臂丛神经阻滞是罕见的。造成病人病情的唯一合理原因可能是药物作用延长;然而，很少有文献记载。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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