Transient unilateral brachial plexus block following landmark-guided superficial cervical plexus block: A case report.

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL SAGE Open Medical Case Reports Pub Date : 2025-02-20 eCollection Date: 2025-01-01 DOI:10.1177/2050313X251321658

Isabel Besozzi, Andrea Goldmann, Daniel Button, Stefanie Senn, Caveh Madjdpour

{"title":"Transient unilateral brachial plexus block following landmark-guided superficial cervical plexus block: A case report.","authors":"Isabel Besozzi, Andrea Goldmann, Daniel Button, Stefanie Senn, Caveh Madjdpour","doi":"10.1177/2050313X251321658","DOIUrl":null,"url":null,"abstract":"<p><p>We report a case of a 61-year-old male patient with impaired function of the contralateral brachial plexus after right parathyroidectomy. The symptoms appeared directly after emerging from general anaesthesia and disappeared completely within 24 h after surgery. The follow-up check after 6 weeks was unremarkable. The patient suffered from asthma, osteoporotic degenerative changes of the spine and a chronic impingement of the left shoulder. He showed no signs of pain or limitations while reclining his neck during pre-operative airway assessment. Before surgery, a bilateral superficial cervical plexus block was performed by the surgeon using the landmark technique. We discuss the positioning of the neck and cervical spine in preparation for surgery and pre-operative superficial cervical plexus block as possible causes for the impaired function of the brachial plexus observed in this patient. We conclude that the latter was the most likely cause in this patient and recommend considering ultrasound guidance for the performance of superficial cervical plexus block.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251321658"},"PeriodicalIF":0.6000,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843684/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"SAGE Open Medical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/2050313X251321658","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

Abstract

We report a case of a 61-year-old male patient with impaired function of the contralateral brachial plexus after right parathyroidectomy. The symptoms appeared directly after emerging from general anaesthesia and disappeared completely within 24 h after surgery. The follow-up check after 6 weeks was unremarkable. The patient suffered from asthma, osteoporotic degenerative changes of the spine and a chronic impingement of the left shoulder. He showed no signs of pain or limitations while reclining his neck during pre-operative airway assessment. Before surgery, a bilateral superficial cervical plexus block was performed by the surgeon using the landmark technique. We discuss the positioning of the neck and cervical spine in preparation for surgery and pre-operative superficial cervical plexus block as possible causes for the impaired function of the brachial plexus observed in this patient. We conclude that the latter was the most likely cause in this patient and recommend considering ultrasound guidance for the performance of superficial cervical plexus block.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

求助全文

约1分钟内获得全文去求助

来源期刊

SAGE Open Medical Case Reports MEDICINE, GENERAL & INTERNAL-

CiteScore

0.60

自引率

0.00%

发文量

320

审稿时长

8 weeks

期刊介绍： SAGE Open Medical Case Reports (indexed in PubMed Central) is a peer reviewed, open access journal. It aims to provide a publication home for short case reports and case series, which often do not find a place in traditional primary research journals, but provide key insights into real medical cases that are essential for physicians, and may ultimately help to improve patient outcomes. SAGE Open Medical Case Reports does not limit content due to page budgets or thematic significance. Papers are subject to rigorous peer review and are selected on the basis of whether the research is sound and deserves publication. By virtue of not restricting papers to a narrow discipline, SAGE Open Medical Case Reports facilitates the discovery of the connections between papers, whether within or between disciplines. Case reports can span the full spectrum of medicine across the health sciences in the broadest sense, including: Allergy/Immunology Anaesthesia/Pain Cardiovascular Critical Care/ Emergency Medicine Dentistry Dermatology Diabetes/Endocrinology Epidemiology/Public Health Gastroenterology/Hepatology Geriatrics/Gerontology Haematology Infectious Diseases Mental Health/Psychiatry Nephrology Neurology Nursing Obstetrics/Gynaecology Oncology Ophthalmology Orthopaedics/Rehabilitation/Occupational Therapy Otolaryngology Palliative Medicine Pathology Pharmacoeconomics/health economics Pharmacoepidemiology/Drug safety Psychopharmacology Radiology Respiratory Medicine Rheumatology/ Clinical Immunology Sports Medicine Surgery Toxicology Urology Women''s Health.