Irfan Güngör1, Murat Zinnuroğlu2, Ayça Taş1, Tolga Tezer1, Mehmet Beyazova2. 1. Department of Anesthesiology and Reanimation, Gazi University Faculty of Medicine, Ankara, Turkey. 2. Department of Physical Medicine and Rehabilitation, Gazi University Faculty of Medicine, Ankara, Turkey.
Abstract
BACKGROUND: Lumbar plexus blockade (LPB) combined with sciatic nerve block (SNB) is frequently used for lower extremity surgery. Perioperative nerve injury is a rarely encountered complication of peripheral nerve blocks (PNB). CASE REPORT: Here we report a 44-year-old male patient who developed a partial femoral nerve injury (FNI) following a LPB which was performed before the surgery of a patellar fracture. The clinical and electroneuromyographic findings of the patient were recovered almost completely within the following six months. CONCLUSION: The presented case demonstrated a FNI despite the absence of any pain or paresthesia sensation, with the disappearance of motor response under 0.3 mA of neurostimulation in the experienced hands.
BACKGROUND: Lumbar plexus blockade (LPB) combined with sciatic nerve block (SNB) is frequently used for lower extremity surgery. Perioperative nerve injury is a rarely encountered complication of peripheral nerve blocks (PNB). CASE REPORT: Here we report a 44-year-old male patient who developed a partial femoral nerve injury (FNI) following a LPB which was performed before the surgery of a patellar fracture. The clinical and electroneuromyographic findings of the patient were recovered almost completely within the following six months. CONCLUSION: The presented case demonstrated a FNI despite the absence of any pain or paresthesia sensation, with the disappearance of motor response under 0.3 mA of neurostimulation in the experienced hands.
Authors: Vincent W S Chan; Richard Brull; Colin J L McCartney; Daquan Xu; Sherif Abbas; Patrick Shannon Journal: Anesth Analg Date: 2007-05 Impact factor: 5.108