A Novel Use of Regional Anesthesia for Spastic Hemiplegia Evaluation and Treatment: A Case Report

Ameet S. Nagpal, Maxim Eckmann, Jon Benfield

Research output: Contribution to journalArticle

Abstract

Spastic hemiplegia is a common sequela of stroke. Spasticity that is not optimally reduced with systemic therapy is often treated with intramuscular botulinum toxin injections. Spastic tone can increase the difficulty of appropriately positioning the patient for botulinum toxin injections, lengthen procedure duration, and increase periprocedural pain. Our patient, a 53-year-old woman, was unable to be adequately positioned to receive botulinum toxin injections to her left upper extremity because of challenging flexion synergy posturing and related positional pain. A left interscalene brachial plexus local anesthetic block administered under ultrasound guidance was used to produce both temporary dense muscle relaxation and profound anesthesia, facilitating successful and comfortable botulinum toxin injections in this patient.

Original languageEnglish (US)
Pages (from-to)180-182
Number of pages3
JournalPM and R
Volume8
Issue number2
DOIs
StatePublished - Feb 1 2016

Fingerprint

Hemiplegia
Conduction Anesthesia
Botulinum Toxins
Injections
Patient Positioning
Pain
Muscle Relaxation
Muscle Spasticity
Brachial Plexus
Therapeutics
Local Anesthetics
Upper Extremity
Anesthesia
Stroke

ASJC Scopus subject areas

  • Rehabilitation
  • Neurology
  • Clinical Neurology
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

A Novel Use of Regional Anesthesia for Spastic Hemiplegia Evaluation and Treatment : A Case Report. / Nagpal, Ameet S.; Eckmann, Maxim; Benfield, Jon.

In: PM and R, Vol. 8, No. 2, 01.02.2016, p. 180-182.

Research output: Contribution to journalArticle

Nagpal, Ameet S. ; Eckmann, Maxim ; Benfield, Jon. / A Novel Use of Regional Anesthesia for Spastic Hemiplegia Evaluation and Treatment : A Case Report. In: PM and R. 2016 ; Vol. 8, No. 2. pp. 180-182.
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