Complications related to pain clinic: prevention and countermeasure. Multiple cranial nerve paralysis by mandibular nerve block.

Nerve injury caused by mandibular block analgesia.

Fifty-four injection injuries in 52 patients were caused by mandibular block analgesia affecting the lingual nerve (n=42) and/or the inferior alveolar nerve (n=12). All patients were examined with a standardized test of neurosensory functions. The perception of the following stimuli was assessed: feather light touch, pinprick, sharp/dull discrimination, warm, cold, point location, brush stroke ...

Inferior Alveolar Nerve Damage Related to Mandibular Advancement by Sagittal Split Osteotomy

Background and Objectives: Split sagittal osteotomy is a common operation that may induce inferior alveolar nerve (IAN) damage, potentially leading to sensory deficit, numbness, and pain. Investigations in Iran to evaluate the adverse effects of sagittal split osteotomy surgery are rare so questions have been raised about the success rate of operatio...

Cranial nerve paralysis following carotid endarterectomy.

During the past seven years 347 patients have been entered into a data bank at the Duke University Medical Center for evaluation of transient neurologic ischemia. One hundred fifty eight of these patients had carotid endarterectomies of whom 24 (15.1%) developed 26 (16.4%) peripheral cranial nerve palsies. Injury to the peripheral portion of the hypoglossal nerve was noted in 13 patients, to th...

VI cranial nerve paralysis after epidural anaesthesia.

Recurrent multiple cranial nerve palsies.

The material for this paper comprises four case reports, which must necessarily be presented in some detail, having regard to the points in which they resemble and differ from one another. The resemblance between these cases is close enough to suggest that they constitute a recognizable clinical syndrome. As to their aetiology, the data permit no definite conclusion but suggest the possibility ...