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Persistent Paresthesia
Case Synopsis
A 63-year-old woman with a history of breast cancer who has undergone chemotherapy will be undergoing a left carpometacarpal arthroplasty. An infraclavicular brachial plexus block is done using 30 mL of 0.5% ropivacaine. On her postoperative visit, she complains of numbness in the lateral hand. Electromyography and nerve conduction tests are performed 12 weeks after surgery and show a sensorimotor neuropathy of her left upper extremity. Over time her symptoms improve, and after 5 months her symptoms have completely resolved.
Acknowledgment
The authors wish to thank Dr. Horlocker for his contribution to the previous edition of this chapter.
Problem Analysis
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