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Acta Anaesthesiol Taiwan · Mar 2005
Case ReportsDelayed recovery of radial nerve function after axillary block in a patient receiving ipsilateral ulnar nerve transposition surgery.
- Hsu-Tang Liu, Ya-Sheng Yu, Chen-Kun Liu, Chun-Sung Sung, Hong-Jen Chiou, Mei-Yung Tsou, and Shen-Kou Tsai.
- Department of Anesthesiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
- Acta Anaesthesiol Taiwan. 2005 Mar 1; 43 (1): 49-53.
AbstractA 68-year-old female who underwent right ulnar nerve transposition surgery under axillary block (AB) by dual-technique (paresthesia and axillary artery penetration techniques) developed postoperative wristdrop. Physical examination showed local hematoma formation with ecchymosis at her right axillary region. Both ultrasonography and nerve conduction studies on her brachial plexus revealed neither direct hematoma compression, intraneural hematoma, nor peripheral neuropathy. Fortunately, she was completely restored to her right hand function 20 h after anesthesia, and was discharged without sequelae 17 days later. In this case, delayed recovery of radial nerve function after AB was suspected and the mechanism which led to this unusualness is discussed.
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