Neurological Injuries Associated With Regional Anesthesia

Research output: Contribution to journalArticle

53 Citations (Scopus)

Abstract

A peripheral nerve or spinal cord injury is a rare but significant complication of regional anesthesia. Evaluation of acute nerve injury includes a focused history and examination to localize the lesion. Confirmatory testing should include electromyography and appropriate imaging. In most cases magnetic resonance imaging (MRI) is preferred to computed tomography (CT) or ultrasound given the better resolution of the nerves and soft tissue. Most cases of peripheral nerve injury will improve and resolve without deficit. In mild cases reassurance and observation is all that is necessary. In more severe cases, if the deficit is progressive or complete, surgical exploration should be considered. If there is no recovery by 2 to 5 months then referral to a peripheral nerve surgeon should be considered. The prognosis for cauda equina or spinal cord lesions is more guarded. Recovery from these is commonly incomplete. Early diagnosis and intervention is the key to preventing catastrophic neurological outcomes.

Original languageEnglish (US)
Pages (from-to)442-448
Number of pages7
JournalRegional Anesthesia and Pain Medicine
Volume33
Issue number5
DOIs
StatePublished - Sep 2008

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Conduction Anesthesia
Peripheral Nerves
Cauda Equina
Nerve Tissue
Peripheral Nerve Injuries
Wounds and Injuries
Electromyography
Spinal Cord Injuries
Early Diagnosis
Spinal Cord
Referral and Consultation
Tomography
Magnetic Resonance Imaging
Observation
Surgeons

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Neurological Injuries Associated With Regional Anesthesia. / Sorenson, Eric J.

In: Regional Anesthesia and Pain Medicine, Vol. 33, No. 5, 09.2008, p. 442-448.

Research output: Contribution to journalArticle

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