Paresthesia and Motor Weakness of Left Shoulder after Interscalene Nerve Block: A case report.
10.4097/kjae.1996.31.6.802
- Author:
Jeong Jin LEE
1
;
Tae Hyung HAN
;
Baekhyo SHIN
Author Information
1. Department of Anesthesiology, Samsung Medical Center, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Anesthetic technique regional;
Complications;
peripheral nervous system dysesthesia;
motor weakness;
interscalene
- MeSH:
Drainage;
Epinephrine;
Fingers;
Humans;
Lidocaine;
Male;
Needles;
Nerve Block*;
Neurologic Manifestations;
Paralysis;
Paresthesia*;
Peripheral Nerves;
Rehabilitation;
Shoulder*;
Young Adult
- From:Korean Journal of Anesthesiology
1996;31(6):802-806
- CountryRepublic of Korea
- Language:Korean
-
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.
