JOCS

The aim of the Comprehensive Surgery is to publish original research articles of the highest scientific and clinical value at the international level in all surgical fields.

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Case Report
Unanticipated motor weakness after ultrasound-guided retrolaminar block for lumbar disc surgery
Retrolaminar block is a new and simple approach of paravertebral block with laminar tecnique. Retrolaminar block is used for pain management of breast surgery, rib fractures and lumbar trauma. However there is not any complication of RLB in the literatüre. In the present manuscript, we report a case of unanticipated motor weakness after ultrasound-guided Retrolaminar block of patient who underwent lumbar disc surgery. After the uneventfull general anesthesia, the patient had hypoesthesia as well as loss of muscle strength. The imaging methods were evaluated as normal. The patient was followed up at 4 hour intervals. The motor weakness of the patient completely resolved at the postoperative 28th hour. To our knowledge this is the first report of motor weakness related to the RLB. Retrolaminar block may cause transient muscle weakness. A careful physical examination and follow-up will provide clear information like in this clinical situation.


1. Pawa A, Wojcikiewicz T, Barron A, Boghdadly EK. Paravertebral blocks: anatomical, practical, and future concepts. Curr Anesthesiol Rep. 2019:9;263-270. doi:10.1007/s40140-019-00328-x
2. Voscopoulos C, Palaniappan D, Zeballos J, et al. The ultrasound-guided retrolaminar block. Can J Anesth. 2013;60:888-895. doi:10.1007/s12630-013-9983-x
3. Murouchi T, Yamakage M. Retrolaminar block: analgesic efficacy and safety evaluation. J Anesth. 2016;30(6):1003-1007. doi:10.1007/s00540-016-2230-1
4. Kaushal A, Haldar R. Regional anesthesia in neuroanesthesia practice. Discoveries (Craiova). 2020;8(2):e111. doi:10.15190/d.2020.8
5. Peker K. The efficacy of ultrasound-guided retrolaminar block on postoperative analgesia for lumbar instrumentation surgery. J Coll Physicians Surg Pak. 2020;30(12):1355-1356. doi:10.29271/jcpsp.2020.12. 1355
6. Diwan S, Nair A. Lumbar erector spinae plane block obtunding knee and ankle reflexes. Saudi J Anaesth. 2021;15(2):222-224. doi:10.4103/sja.SJA_79_20
7. Selvi O, Tulgar S. Ultrasound guided erector spinae plane block as a cause of unintended motor block. Rev Esp Anestesiol Reanim. 2018;65(10):589-592. doi:10.1016/j.redar.2018.05.009
8. White II PM, Dabaliz AAM, Merman RB, Cho JS, Wyler DJ. A case report of transient motor weakness following erector spinae plane block for aortic bypass surgery. Ann Vasc Surg. 2021;1(2):100023. doi:10.1016/j.avsurg<br />
Volume 3, Issue 2, 2025
Page : 40-41
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