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Delayed Neurological Recovery After Ultrasound-Guided Brachial Plexus Block: A Case Report.
Ninadini Shrestha1, Bipin Karki2, Megha Koirala1
1Department of Anaesthesia, Maharajgunj Medical Campus, Institute of Medicine, Maharajgunj, Kathmandu, Nepal.
A rare case of prolonged supraclavicular brachial plexus block lasted 19 weeks. This rare complication of anesthesia recovery highlights the importance of monitoring patients after nerve blocks.
Area of Science:
- Anesthesiology
- Neurology
- Regional Anesthesia
Background:
- Brachial plexus blocks are common and safe anesthetic techniques.
- Major complications are rare, but peripheral neuropathies can occur.
Observation:
- A 22-year-old patient received an ultrasound-guided supraclavicular brachial plexus block.
- The block persisted for an unusually long period of 19 weeks.
- All potential causes for the prolonged block were investigated and ruled out.
Findings:
- The patient experienced a rare, prolonged brachial plexus block.
- Full neurological recovery was achieved after 19 weeks without deficits.
- Prolonged drug effect is the suspected cause, though rarely documented.
Implications:
- This case underscores the possibility of rare, extended complications following brachial plexus blocks.
- Highlights the need for vigilance and extended monitoring in cases of persistent nerve blocks.
- Contributes to understanding the spectrum of brachial plexus block complications.
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