Case Report

Does interscalene block increase intracranial pressure?

Volume: 45 Number: 2 June 30, 2023
EN

Does interscalene block increase intracranial pressure?

Abstract

Interscalene brachial plexus (ISB) block is widely used in shoulder and humerus surgeries, especially in patients that have high risk for general anesthesia. Increased intracranial pressure (ICP) is not among the complications of this block because there is no data about this issue in the literature. In this traumatic case report, a patient with headache and with a known meningioma in his right temporo occipital region is gonna have a proximal humerus fracture surgery with ISB block under repetitive optic nerve sheath diameter measurements. The result of this case report can add a unique information to the ISB literature.

Keywords

References

  1. 1. Coşarcan S, Gurkan Y, Doğan A, et al. Could Interscalene Block Possibly be Protective Against Cerebral Ischemia During Shoulder Surgery in a Beach Chair Position?. Cureus 2021:13(7): e16773. doi:10.7759/cureus.16773
  2. 2. Maissan IM, Dirven PJ, Haitsma IK, Hoeks SE, Gommers D, Stolker RJ. Ultrasonographic measured optic nerve sheath diameter as an accurate and quick monitor for changes in intracranial pressure. Journal of neurosurgery 2015;123(3):743-747.
  3. 3. Kimberly HH, Shah S, Marill K, Noble V. Correlation of optic nerve sheath diameter with direct measurement of intracranial pressure. Academic emergency medicine: official journal of the Society for Academic Emergency Medicine 2008;15(2):201-204.
  4. 4. Winnie AP: Interscalene brachial plexus block. Anesth Analg. 1970;49:455-66.
  5. 5. Soeding, P. F., Currigan, D. A., Mamo, Y., & Hoy, G. Effect of Interscalene Anaesthesia on Cerebral Oxygen Saturation. Anaesthesia and Intensive Care, 2016:44(3):359–363. doi:10.1177/0310057x1604400301

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Case Report

Early Pub Date

June 30, 2023

Publication Date

June 30, 2023

Submission Date

June 2, 2022

Acceptance Date

June 27, 2023

Published in Issue

Year 2023 Volume: 45 Number: 2

AMA
1.Gündoğdu O, Avcı O. Does interscalene block increase intracranial pressure? CMJ. 2023;45(2):74-78. doi:10.7197/cmj.1125237