• A&A practice · Apr 2022

    Case Reports

    Transient C5 Sensory and Motor Blockade After a Unilateral T4 Paravertebral Block: A Case Report.

    • Siavash Mortazavi, Matthew Trinder, Ran Li, Brien Hennessy, and Allen Yeo.
    • From the Departments of General Surgery.
    • A A Pract. 2022 Apr 12; 16 (4): e01583.

    AbstractA thoracic paravertebral block (TPVB) can provide anesthesia for breast cancer surgeries. This case report describes a 58-year-old woman with a prolonged ipsilateral dense C5 dermatomal sensory and motor blockade after receiving a TPVB at T4 with 40 mL of 0.2% ropivacaine for a left total mastectomy, suggesting a high cephalad spread of anesthesia up to C5 paravertebral spaces. The lower extremities and the diaphragm were not involved. It is possible that the large volume of local anesthetic, even at low concentration, combined with her previous neural pathology and surgical laminectomy resulted in unexpected postoperative neurological changes.Copyright © 2022 International Anesthesia Research Society.

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