• A & A case reports · Feb 2014

    Transient facial nerve palsy after auriculotemporal nerve block in awake craniotomy patients.

    • Erin McNicholas, Federico Bilotta, Luca Titi, James Chandler, Giovanni Rosa, and Antoun Koht.
    • From the *Department of Anesthesiology, Northwestern Feinberg School of Medicine, Chicago, Illinois; †Department of Anesthesiology, Critical Care and Pain Medicine, Section of Neurocritical Care, "Sapienza" University of Rome, Italy; and Departments of ‡Neurological Surgery and §Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
    • A A Case Rep. 2014 Feb 15;2(4):40-3.

    AbstractIn this case series, we describe transient postoperative facial nerve palsy in patients after awake craniotomy using selective scalp nerve blocks. In a 1-year period, 7 of the 42 patients receiving scalp nerve blocks at our institutions developed this complication. This is significant because there is only 1 previously reported case of postoperative facial nerve palsy related to scalp nerve blocks. The exact cause of transient postoperative facial nerve palsy after auriculotemporal nerve block is unknown and likely multifactorial. This technique may need to be refined to avoid such complications.

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