Proximal Median Neuropathy Caused by Axillary Brachial Plexus Block.

Author: Seok Jin CHOI ¹ ; Dong Gun KIM ; Kyung Seok PARK
Author Information

1. Department of Neurology, Seoul National University Hospital, Seoul, Korea.
Publication Type:Case Report
Keywords: Axillary brachial plexus block; Proximal median neuropathy
MeSH: Adult; Anesthesia, Local; Brachial Plexus Block*; Brachial Plexus Neuropathies; Brachial Plexus*; Diagnosis; Fingers; Hand; Humans; Median Neuropathy*; Neurologic Examination; Orthopedics; Thumb
From:Journal of the Korean Neurological Association 2016;34(3):201-204
CountryRepublic of Korea
Language:Korean
Abstract: An axillary brachial plexus block (BPB) is commonly used in local anesthesia, especially for hand surgery. Infraclavicular brachial plexopathy is a potential complication of axillary BPB. A 44-year-old man with an injury to his left third fingertip presented with weakness of the left thumb and index finger flexion after orthopedic surgery under axillary BPB. This was a rare case of proximal median neuropathy caused by axillary BPB. The diagnosis was confirmed by a detailed neurological examination and electrodiagnostic studies.