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[A case of nerve injury after vascular access surgery under brachial plexus block]

Yasuhiko Imashuku1, Hirotoshi Kitagawa, Kan Takahashi

  • 1Department of Anesthesiology, Shiga University of Medical Science, Otsu 520-2192.

Masui. the Japanese Journal of Anesthesiology
|December 10, 2003
PubMed

A 52-year-old woman underwent vascular access surgery under brachial plexus block of the left arm. After the surgery, the patient complained of painful and burning sensation and motor disturbance of her forearm without muscle necrosis. We administered ketamine to treat the symptoms as neuropathic pain arising as a complication of brachial plexus nerve block. Six days after operation, angiography showed little blood flow at distal portion of the shunt. We recognized ischemia induced monomeric neuropathy. Immediately after the occlusion of the vascular access, the pain disappeared but not sensory and motor disturbances. Our experience suggests that angiography is helpful for diagnosis of ischemia-induced neuropathy after vascular access surgery.

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