Diagnostic peripheral nerve block resulting in compartment syndrome. Case report.

Abstract:

:A hemiplegic patient with severe upper extremity spasticity 2 years after a cerebrovascular accident received a diagnostic median nerve block below the elbow with bupivacaine. He had been placed on Coumadin as prophylaxis for cerebrovascular arteriosclerotic disease, and prothrombin time was kept at twice the control value. Less than 48 hours after the procedure, a compartment syndrome developed in the volar forearm. Compartment syndrome has not previously been reported as a complication resulting from a nerve block procedure. We conclude that (1) compartment syndrome may develop after a peripheral nerve block procedure for spasticity, (2) prophylactic anticoagulation may increase the risk for hemorrhagic events resulting from percutaneous injection and (3) early recognition is essential and appropriate decompressive fasciotomy may be indicated if a compartment syndrome develops after a nerve block procedure.

journal_name

Am J Phys Med Rehabil

authors

Parziale JR,Marino AR,Herndon JH

doi

10.1097/00002060-198804000-00009

subject

Has Abstract

pub_date

1988-04-01 00:00:00

pages

82-4

issue

2

eissn

0894-9115

issn

1537-7385

journal_volume

67

pub_type

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