Subscribe to RSS
Unilateral Complete Ptosis after Scalp Block for Awake Craniotomy: A Rare ComplicationFunding None.
Received: 25 February 2018
Accepted: 28 May 2018
23 June 2018 (online)
A combination of scalp block and monitored anesthesia care (MAC) is one of the options among anesthetic techniques that can be used during an awake craniotomy for epilepsy surgery. Even though a scalp block is useful as locoregional analgesia during the surgery, it also has the potential to cause some complications. Trigeminocardiac reflex and transient facial nerve palsies have previously been reported following scalp block. The toxicity of local anesthetic agents and nerve injuries present other potential complications. However, complete unilateral ptosis is a rare complication after scalp block. We report a case of unilateral complete mechanical ptosis after a scalp block using ropivacaine 0.75% for an awake craniotomy for epilepsy surgery.
- 1 Burnand C, Sebastian J. Anaesthesia for awake craniotomy. Contin Educ Anaesth Crit Care Pain 2013; 14 (01) 6-11
- 2 Costello TG, Cormack JR, Mather LE, LaFerlita B, Murphy MA, Harris K. Plasma levobupivacaine concentrations following scalp block in patients undergoing awake craniotomy. Br J Anaesth 2005; 94 (06) 848-851
- 3 Guilfoyle MR, Helmy A, Duane D. Hutchinson PJ. Regional scalp block for postcraniotomy analgesia: a systematic review and meta-analysis. Anesth Analg 2013; 116 (05) 1093-1102
- 4 Bonhomme V, Franssen C, Hans P. Awake craniotomy. Eur J Anaesthesiol 2009; 26 (11) 906-912
- 5 Prabhu VC, Bamber NI, Shea JF, Jellish WS. Avoidance and management of trigeminocardiac reflex complicating awake-craniotomy. Clin Neurol Neurosurg 2008; 110 (10) 1064-1067
- 6 Chowdhury T, Baron K, Cappellani RB. Severe bradycardia during scalp nerve block in patient undergoing awake craniotomy. Saudi J Anaesth 2013; 7 (03) 356-357
- 7 McNicholas E, Bilotta F, Titi L, Chandler J, Rosa G, Koht A. Transient facial nerve palsy after auriculotemporal nerve block in awake craniotomy patients. A A Case Rep 2014; 2 (04) 40-43
- 8 Pinosky ML, Fishman RL, Reeves ST. et al. The effect of bupivacaine skull block on the hemodynamic response to craniotomy. Anesth Analg 1996; 83 (06) 1256-1261
- 9 Costello TG, Cormack JR. Anaesthesia for awake craniotomy: a modern approach. J Clin Neurosci 2004; 11 (01) 16-19