• Dtsch. Med. Wochenschr. · Jan 1978

    Case Reports

    [Brachial plexus paralysis after stellate blockade and plexus anaesthesia (author's transl)].

    • M Stöhr, K Mayer, and F Petruch.
    • Dtsch. Med. Wochenschr. 1978 Jan 13; 103 (2): 68-70.

    AbstractBrachial plexus paralysis is a serious complication of stellate blockade (n = 2) and plexus anaesthesia (n = 6) as was observed in 8 patients. It is frequently characterised by localised motor and sensory defects in the affected arm and sometimes accompanied by a causalgia-like pain. Pathogenetically mechanical factors--needle trauma, injection pressure, volume, and velocity--are of decisive importance. Prophylactically intraneural injections must be avoided. The electrifying pain during insertion of the needle and (or) immediate anaesthetic effect require correction of needle position.

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