Abstract
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.
Keywords
awake craniotomy - scalp block - ptosis - ropivacaine
