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Title

Partial sensory and motor deficit of ipsilateral lower limb after continuous interscalene brachial plexus block

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Published in Anesthesia and Analgesia. 2006, vol. 102, no. 1, p. 288-90
Abstract We describe a partial sensory and motor block of the ipsilateral lower limb after interscalene infusion. After and injection of 20 mL of ropivacaine through the needle, the catheter was advanced 5 cm, and an infusion of ropivacaine 0.2% 5 mL/h commenced. Six hours later, the patient reported a left sensory and motor hemisyndrome, which resolved after the infusion was discontinued. Cervical computed tomography showed the tip of the catheter close to the intervertebral foramen at the C7-T1 level and several intravertebral paramedullar air bubbles. We conclude that the neurological symptoms were caused by an injection of local anesthetic via an interscalene catheter placed in proximity to the epidural space. To avoid this complication, we recommend advancing the catheter no more than 2-3 cm and performing frequent neurological evaluation of patients.
Keywords AdultAmides/adverse effectsBrachial Plexus/drug effects/radiographyCatheterization/adverse effectsFemaleHumansLower Extremity/radiographyMotor Skills Disorders/chemically induced/radiographyNerve Block/adverse effectsNeurons, Afferent/drug effects/radiographySensation Disorders/chemically induced/radiography
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PMID: 16368845
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Research group Chirurgie orthopédique et traumatologique (98)
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FAUST, Alexandre et al. Partial sensory and motor deficit of ipsilateral lower limb after continuous interscalene brachial plexus block. In: Anesthesia and Analgesia, 2006, vol. 102, n° 1, p. 288-90. https://archive-ouverte.unige.ch/unige:36670

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Deposited on : 2014-05-16

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