Recurring brachial plexus neuropathy in a diabetic patient after shoulder surgery and continuous interscalene block.
The performance of regional blockade on a patient with a preexisting neurologic condition or a history of neurologic complications after regional anesthesia is controversial. We present a case of recurring brachial plexus neuropathy in a diabetic patient after two shoulder procedures performed 4 mo apart. In both cases, the patient underwent intensive physical therapy with continuous postoperative interscalene analgesia.
Horlocker
T T
TT
Departments of Anesthesiology, Orthopedic Surgery, and Neurology, Mayo Clinic, Rochester, MN 55905, USA. horlocker.terese@mayo.edu
O'Driscoll
S W
SW
Dinapoli
R P
RP
D000328:Adult; D020516:Brachial Plexus Neuropathies / Q000209:etiology*; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D004576:Electromyography; D005260:Female; D006801:Humans; D009407:Nerve Block / Q000009:adverse effects*; D011183:Postoperative Complications / Q000503:physiopathology*; D012008:Recurrence; D012782:Shoulder / Q000601:surgery*