액와상완신경총차단술 이후에 발생한 근위정중신경병
Proximal Median Neuropathy Caused by Axillary Brachial Plexus Block
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
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.
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.
참고문헌 (5)
- Tsao BE, "Infraclavicular brachial plexus injury following axillary regional block", Muscle Nerve, 30, pp.44~48 (2004)
- Selander D, "Paresthesiae or no paresthesiae? Nerve lesions after axillary blocks", Acta Anaesthesiol Scand, 23, pp.27~33 (1979)
- Tsao BE, "The medial brachial fascial compartment syndrome following axillary arteriography", Neurology, 61, pp.1037~1041 (2003)
- Kitagawa N, "Possible mechanism of irreversible nerve injury caused by local anesthetics: detergent properties of local anesthetics and membrane disruption", Anesthesiology, 100, pp.962~967 (2004)
- Ben-David B, "Prognosis of intraoperative brachial plexus injury:a review of 22 cases", Br J Anaesth, 79, pp.440~445 (1997)