手術体位が原因で生じた左腕神経叢損傷による疼痛に対して腕神経叢ブロックが奏効した1症例

杉部 清佳, 前田 愛子, 西ヶ野 千晶, 中山 昌子, 東 みどり子, 山浦 健

研究成果: Contribution to journalArticle査読

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<p>Background: Peripheral nerve injury is a significant perioperative complication. We report a case of a patient with intraoperative position-related brachial plexus injury, whose symptoms were improved by brachial plexus block. Case: A 23-year-old man underwent thoracoscopic resection for an anterior mediastinal tumor. The surgery lasted 8 hours under the right prone position with his left arm fixed at the shoulder height, and his neck-slightly extended. Immediately after the surgery, the patient complained of severe pain, with paralysis and numbness of the left upper extremity. Magnetic resonance neurography revealed a swollen brachial plexus. He was referred to our pain clinic because his symptoms did not improve with conservative treatment. We decided to perform ultrasound-guided branchial plexus block (1% mepivacaine+dexamethasone [3.3 mg]) to control pain and inflammation. After five blocks, although numbness remained, his pain improved considerably. Conclusion: The brachial plexus block could ameliorate acute neuropathic pain with inflammation.</p>
寄稿の翻訳タイトルBrachial plexus block improved refractory pain due to intraoperative position-related nerve injury: a case report
本文言語Japanese
ジャーナル日本ペインクリニック学会誌
DOI
出版ステータス出版済み - 2020

フィンガープリント 「手術体位が原因で生じた左腕神経叢損傷による疼痛に対して腕神経叢ブロックが奏効した1症例」の研究トピックを掘り下げます。これらがまとまってユニークなフィンガープリントを構成します。

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