Korean J Anesthesiol.  1993 Oct;26(5):1066-1069. 10.4097/kjae.1993.26.5.1066.

A Case of Brachial Plexus Block in a Patient with Multiple Sclerosis

• Jung HS
• Kang SH
• Kim KH
• Chang TH
• Kim SH

• KMID: 1690068
• DOI: http://doi.org/10.4097/kjae.1993.26.5.1066

Abstract

Multiple sclerosis is an acquired, demyelinating disease of the central nervous system Clinically, it is characterized by episodes of focal disorder of the optic nerves, spinal cord, and brain, which remit to a varying extent and recur over a period of many years. Because of the possibilities of neurologic exacerbation, general anesthesia is usually recommended, while spinal anesthesia is discouraged. Epidural anesthesia may be less of a risk than spinal anesthesia, because the concentration of local anesthetic in spinal cord white matter is lower. Other regional anesthesia is not likely to predispose postoperative exacerbation of multiple sclerosis, but a controlled study has not been performed. A 17 year-old female patient with advanced multiple sclemsis was successfully managed for internal fixation of ulnar fracture using brachial plexus block. The patient recovered well after block without any aggravation of neurologic symptoms.

Keyword

Multiple sclerosis; Brachial plexus block

MeSH Terms

Adolescent
Anesthesia, Conduction
Anesthesia, Epidural
Anesthesia, General
Anesthesia, Spinal
Brachial Plexus*
Brain
Central Nervous System
Demyelinating Diseases
Female
Humans
Multiple Sclerosis*
Neurologic Manifestations
Optic Nerve
Spinal Cord