Anesth Analg 2000;91:688-690
© 2000 International Anesthesia Research Society
REGIONAL ANESTHESIA AND PAIN MEDICINE
Recurring Brachial Plexus Neuropathy in a Diabetic Patient After Shoulder Surgery and Continuous Interscalene Block
Terese T. Horlocker, MD*,
Shawn W. ODriscoll, MD, PhD , and
Robert P. Dinapoli, MD
Departments of
*Anesthesiology,
Orthopedic Surgery, and
Neurology, Mayo Clinic, Rochester, Minnesota
Address correspondence and reprint requests to Terese T. Horlocker, MD, Department of Anesthesiology, Mayo Clinic, Rochester, MN 55905. Address e-mail to horlocker.terese{at}mayo.edu
Implications: The performance of regional blockade on a patient with a preexisting neurologic condition or a history of neurologic complications after regional anesthesia is controversial. We present a case of recurring brachial plexus neuropathy in a diabetic patient after two shoulder procedures performed 4 mo apart. In both cases, the patient underwent intensive physical therapy with continuous postoperative interscalene analgesia.
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