Hypoesthesia of the Cutaneous Branch of Cervical Plexus after Shoulder Arthroscopy under General Anesthesia with Ultrasound Guided-Interscalene Block.
10.12771/emj.2017.40.4.168
- Author:
Ji Sun JEONG
1
;
Youn Jin KIM
;
Jae Hee WOO
;
Rack Kyung CHUNG
;
Dong Yeon KIM
;
Ji Seon CHAE
Author Information
1. Department of Anesthesiology and Pain Medicine, Ewha Womans University College of Medicine, Seoul, Korea. ankyj@ewha.ac.kr
- Publication Type:Case Report
- Keywords:
Hypoesthesia;
Shoulder arthroscopes;
Peripheral nerves;
Patient positioning
- MeSH:
Aged;
Anesthesia, General*;
Arthroscopy*;
Audiometry;
Brachial Plexus Block;
Cervical Plexus*;
Ear Auricle;
Humans;
Hypesthesia*;
Patient Positioning;
Peripheral Nerves;
Rotator Cuff;
Shoulder*;
Ultrasonography*
- From:The Ewha Medical Journal
2017;40(4):168-170
- CountryRepublic of Korea
- Language:English
-
Abstract:
We present an uncommon case of hypoesthesia in the posterior and upper third of the superior area on the left ear auricle, after arthroscopic surgery of the shoulder in the lateral position under general anesthesia with ultrasound guided-interscalene brachial plexus block. A 65-year-old man underwent arthroscopic rotator cuff repair of the left shoulder in the right lateral decubitus position. Two days after operation, he complained of numbness around the left auricle; his symptoms persisted until 6 weeks after surgery. Audiometry and sensory examinations were normal. He recovered naturally by 6 months postoperatively. Postoperative neurological deficits that may not be block-related can be attributed to a combination of factors, such as patient-, anesthesia-, and surgery-related factors, including direct trauma, positioning, and retraction. Anesthesiologists should be aware that the injury may not be block-related and consider other possible causes.
