Korean J Anesthesiol.  1996 Jan;30(1):98-103. 10.4097/kjae.1996.30.1.98.

Upper Airway Obstruction & Brachial Plexus Injury Occurred after Microvascular Decompression under Fukushima Lateral Position: A case report

• Park BH
• Kang JW
• Min KT
• Kim JR

• KMID: 2237824
• DOI: http://doi.org/10.4097/kjae.1996.30.1.98

Abstract

A 25 years old woman was adrnitted to the department of neurosurgery for a right hemifacial spasm. She was undertaken microvascular decompression in the Fukushima lateral position. Following completion of operation, she began to complain of dyspnea, but the phonation was not changed. Mild weakness and paresthesia on left upper extremity was complained, too. Severe swelling on the left side of face and neck expending to left shoulder was noted simultaneously. Immediate computerized tomography was taken to reveal the cause of respiratory distress, which suggested that venous and/or lymphatic congestion on the left side of neck. As respiratory distress was getting more severe, emergent tracheostomy was taken. The cause of above symptoms was suspected to an extreme rotation and flexion of the head resulting in direct contact of mandibular body to clavicle. A month after operation, there was still remained mild paresthesia on left thumb and index finger.

Keyword

Airway; obstruction; Position; Complications; Fukushima lateral position; brachial plexus injury

MeSH Terms

Adult
Airway Obstruction*
Brachial Plexus*
Clavicle
Dyspnea
Estrogens, Conjugated (USP)
Female
Fingers
Head
Hemifacial Spasm
Humans
Microvascular Decompression Surgery*
Neck
Neurosurgery
Paresthesia
Phonation
Shoulder
Thumb
Tracheostomy
Upper Extremity
Estrogens, Conjugated (USP)