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The plexuses of the lower body include the lumbar, sacral, and coccygeal plexuses, which innervate the abdomen, pelvis, legs, and coccygeal region. These plexuses control the transmission of sensory information and coordinate motor functions of the lower body.
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Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
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Phantom Sensations Following Brachial Plexus Nerve Block: A Case Report.

Hannah G Russell1, Jack W Tsao1,2,3

  • 1Department of Neurology, University of Tennessee Health Science Center, Memphis, TN, United States.

Frontiers in Neurology
|June 29, 2018
PubMed
Summary

A patient experienced phantom limb sensations after brachial plexus anesthesia, lasting long after the anesthesia wore off. This suggests slow resolution of cortical changes after nerve блокада.

Keywords:
amputationbrachial plexus anesthesiabrachial plexus injurycortical remappingcortical reorganizationfrozen limbphantom limb painphantom limb sensation

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Area of Science:

  • Neuroscience
  • Anesthesiology

Background:

  • Brachial plexus anesthesia is commonly used for hand and upper extremity surgeries.
  • Phantom limb sensations (PLS) are typically associated with amputation but can occur in other contexts.

Observation:

  • A 54-year-old woman developed immediate phantom limb sensations after brachial plexus anesthesia for thumb surgery.
  • Sensations included misplacement of the arm and a "frozen" feeling in the fingers, lasting 69 hours post-anesthesia.

Findings:

  • The patient reported tingling and heaviness in her phantom hand.
  • PLS persisted for approximately 3.5 days after the anesthesia effects subsided.

Implications:

  • The prolonged duration of PLS suggests that cortical reorganization may resolve slower than peripheral nerve block effects.
  • This case offers insights into the neurophysiological mechanisms underlying phantom limb sensations in both surgical and amputee populations.