Local Anaesthesia Systemic Toxicity (LAST) – A Stroke Mimicker
- Author:
FAIEZAH K
1
Author Information
1. Department of Emergency Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.
- Collective Name:FAIEZAH K; TAN TL
- Publication Type:Journal Article
- Keywords:
intra-articular;
injection;
lidocaine;
local anaesthesia;
shoulder joint;
stroke
- From:Medicine and Health
2019;14(1):266-269
- CountryMalaysia
- Language:English
-
Abstract:
Local anaesthesia systemic toxicity (LAST) is an uncommon and a potentially
life-threatening event that develops after peripheral nerve block. The cause
may be multifactorial and may include the choice of drug, technique of block
and individual patient risk factors. We report a case of a 55-year-old female
who developed slurring of speech and quadriplegia after receiving a mixture of
lignocaine and hydrocortisone through an intra-articular injection to the right
shoulder. Neurological examination revealed hypotonia and absence of power (0/5)
in all limbs. These toxic events may have resulted from an accidental intra-arterial or dural cuff injection of local anaesthesia or absorption from surrounding tissues.
This case report demonstrated that an intra-articular injection in the shoulder may
cause LAST and may be under-recognized as it can mimic stroke.
- Full text:12.2019my0120.pdf
