Workup and Management of Persistent Neuralgia following Nerve Block
Neurological injuries following peripheral nerve blocks are a relatively rare yet potentially devastating complication depending on the type of lesion, affected extremity, and duration of symptoms. Medical management continues to be the treatment modality of choice with multimodal nonopioid analgesi...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2016/9863492 |
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| _version_ | 1832548059511259136 |
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| author | Paul David Weyker Christopher Allen-John Webb Thoha M. Pham |
| author_facet | Paul David Weyker Christopher Allen-John Webb Thoha M. Pham |
| author_sort | Paul David Weyker |
| collection | DOAJ |
| description | Neurological injuries following peripheral nerve blocks are a relatively rare yet potentially devastating complication depending on the type of lesion, affected extremity, and duration of symptoms. Medical management continues to be the treatment modality of choice with multimodal nonopioid analgesics as the cornerstone of this therapy. We report the case of a 28-year-old man who developed a clinical common peroneal and lateral sural cutaneous neuropathy following an uncomplicated popliteal sciatic nerve block. Workup with electrodiagnostic studies and magnetic resonance neurography revealed injury to both the femoral and sciatic nerves. Diagnostic studies and potential mechanisms for nerve injury are discussed. |
| format | Article |
| id | doaj-art-608c19ffdbf54e2db34e511027e18f18 |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-608c19ffdbf54e2db34e511027e18f182025-02-03T06:42:22ZengWileyCase Reports in Anesthesiology2090-63822090-63902016-01-01201610.1155/2016/98634929863492Workup and Management of Persistent Neuralgia following Nerve BlockPaul David Weyker0Christopher Allen-John Webb1Thoha M. Pham2Columbia University College of Physicians & Surgeons, Columbia University Medical Center, New York, NY, USAColumbia University College of Physicians & Surgeons, Columbia University Medical Center, New York, NY, USAUniversity of California San Francisco School of Medicine, San Francisco, CA, USANeurological injuries following peripheral nerve blocks are a relatively rare yet potentially devastating complication depending on the type of lesion, affected extremity, and duration of symptoms. Medical management continues to be the treatment modality of choice with multimodal nonopioid analgesics as the cornerstone of this therapy. We report the case of a 28-year-old man who developed a clinical common peroneal and lateral sural cutaneous neuropathy following an uncomplicated popliteal sciatic nerve block. Workup with electrodiagnostic studies and magnetic resonance neurography revealed injury to both the femoral and sciatic nerves. Diagnostic studies and potential mechanisms for nerve injury are discussed.http://dx.doi.org/10.1155/2016/9863492 |
| spellingShingle | Paul David Weyker Christopher Allen-John Webb Thoha M. Pham Workup and Management of Persistent Neuralgia following Nerve Block Case Reports in Anesthesiology |
| title | Workup and Management of Persistent Neuralgia following Nerve Block |
| title_full | Workup and Management of Persistent Neuralgia following Nerve Block |
| title_fullStr | Workup and Management of Persistent Neuralgia following Nerve Block |
| title_full_unstemmed | Workup and Management of Persistent Neuralgia following Nerve Block |
| title_short | Workup and Management of Persistent Neuralgia following Nerve Block |
| title_sort | workup and management of persistent neuralgia following nerve block |
| url | http://dx.doi.org/10.1155/2016/9863492 |
| work_keys_str_mv | AT pauldavidweyker workupandmanagementofpersistentneuralgiafollowingnerveblock AT christopherallenjohnwebb workupandmanagementofpersistentneuralgiafollowingnerveblock AT thohampham workupandmanagementofpersistentneuralgiafollowingnerveblock |