Delayed Neurological Recovery After Ultrasound-Guided Brachial Plexus Block: A Case Report
Received 23 February 2020
Accepted for publication 15 April 2020
Published 23 April 2020 Volume 2020:13 Pages 33—35
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Stefan Wirz
Ninadini Shrestha, 1 Bipin Karki, 2 Megha Koirala, 1 Santosh Acharya, 3 Pramesh Sunder Shrestha, 1 Subhash Prasad Acharya 1
1Department of Anaesthesia, Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Kathmandu, Nepal; 2Department of Critical Care Medicine, Om Hospital and Research Center Pvt. Ltd, Chabahil, Kathmandu, Nepal; 3Department of Critical Care Medicine, Hospital for Advanced Medicine and Surgery, Dhumbarahi, Kathmandu, Nepal
Correspondence: Bipin Karki
Department of Critical Care Medicine, Om Hospital and Research Center Pvt. Ltd., GPO 13494, Chabahil, Kathmandu, Nepal
Tel +977 9841701269
Fax +977 14466128
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.
Keywords: complication, nerve conduction test, neurology, neuropathy
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