ISSN : 2146-3123
E-ISSN : 2146-3131

Femoral Nerve Injury Following a Lumbar Plexus Blockade
İrfan Güngör 1, Ayça Taş 1, Tolga Tezer 1, Mehmet Beyazova 2, Murat Zinnuroğlu 2
1Department of Anesthesiology and Reanimation, Gazi University Faculty of Medicine, Ankara, Turkey
2Department of Physical Medicine and Rehabilitation, Gazi University Faculty of Medicine, Ankara, Turkey
DOI : 10.5152/balkanmedj.2014.13179
Pages : 184-186

Abstract

Background: Lumbar plexus blockade (LPB) combined with sciatic nerve block (SNB) is frequently used for lower extremity surgery. Perioperative nerve injury is a rarely encountered complication of peripheral nerve blocks (PNB).

Case Report: Here we report a 44-year-old male patient who developed a partial femoral nerve injury (FNI) following a LPB which was performed before the surgery of a patellar fracture. The clinical and electroneuromyographic findings of the patient were recovered almost completely within the following six months.

Conclusion: The presented case demonstrated a FNI despite the absence of any pain or paresthesia sensation, with the disappearance of motor response under 0.3 mA of neurostimulation in the experienced hands.

Keywords : Electromyography, femoral nerve, lumbosacral plexus, nerve block, nerve stimulation, peripheral nerve injuries
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