Year : 2020  |  Volume : 14  |  Issue : 1  |  Page : 104-106

Not everything is as it seems

1 Department of Anaesthesia, Cambridge University Hospital, Cambridge, UK
2 Department of Trauma and Orthopedics, Cambridge University Hospital, Cambridge, UK

Correspondence Address:
Dr. Anand M Sardesai
Department of Anaesthesia, Cambridge University Hospital, Cambridge
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sja.SJA_412_19

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We report a case of a patient operated for shoulder rotator cuff injury under interscalene brachial plexus block and general anesthesia, who developed neurological deficit in the nonoperative upper limb in the immediate postoperative period. As our patient developed neurological deficit on the nonoperative side, it was clear from the beginning that neither the nerve block nor the operative procedure was responsible for it. However, had he developed neurological symptoms on the operative side after having a peripheral nerve block, it would have possibly delayed the timely investigation and diagnosis. This case report underlines the need to keep an open mind when investigating neurological symptoms arising in the perioperative period, rather than assuming it to be secondary to either nerve block or as a complication of surgical procedure.

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