J Korean Neurol Assoc.  2016 Aug;34(3):201-204. 10.17340/jkna.2016.3.5.

Proximal Median Neuropathy Caused by Axillary Brachial Plexus Block

• Choi SJ
• Kim DG
• Park KS

• KMID: 2345242
• DOI: http://doi.org/10.17340/jkna.2016.3.5

Abstract

An axillary brachial plexus block (BPB) is commonly used in local anesthesia, especially for hand surgery. Infraclavicular brachial plexopathy is a potential complication of axillary BPB. A 44-year-old man with an injury to his left third fingertip presented with weakness of the left thumb and index finger flexion after orthopedic surgery under axillary BPB. This was a rare case of proximal median neuropathy caused by axillary BPB. The diagnosis was confirmed by a detailed neurological examination and electrodiagnostic studies.

Keyword

Axillary brachial plexus block; Proximal median neuropathy

MeSH Terms

Adult
Anesthesia, Local
Brachial Plexus Block*
Brachial Plexus Neuropathies
Brachial Plexus*
Diagnosis
Fingers
Hand
Humans
Median Neuropathy*
Neurologic Examination
Orthopedics
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