Phantom sensations following brachial plexus nerve block

A case report

Hannah G. Russell, Jack Tsao

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Following the administration of brachial plexus anesthesia for right thumb carpometacarpal arthroplasty with ligament reconstruction, a 54-year-old woman with all limbs intact developed phantom limb sensations, including the misperception of the placement of her right arm and frozen limb sensations in her fingers. Immobility of her fingers in a stacked position was experienced for ~3.5 days after surgery, and she described her phantom sensations as the hand experiencing "tingling" and feeling "heavy." While the onset of these phantom sensations occurred almost immediately after administration of brachial plexus anesthesia, they lasted for ~69 h after anesthesia wear off, suggesting that cortical effects from denervation resolves much more slowly than initial remapping, giving insight into the mechanisms behind phantom limb sensations that are often experienced by amputees.

Original languageEnglish (US)
Article number436
JournalFrontiers in Neurology
Volume9
Issue numberJUN
DOIs
StatePublished - Jun 8 2018

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Phantom Limb
Nerve Block
Fingers
Extremities
Amputees
Thumb
Denervation
Ambulatory Surgical Procedures
Ligaments
Arthroplasty
Brachial Plexus Block
Emotions
Arm
Anesthesia
Hand

All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology

Cite this

Phantom sensations following brachial plexus nerve block : A case report. / Russell, Hannah G.; Tsao, Jack.

In: Frontiers in Neurology, Vol. 9, No. JUN, 436, 08.06.2018.

Research output: Contribution to journalArticle

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