Lesión de nervio peroneo: no siempre la anestesia es la culpable / Peroneal nerve injury: anesthesia is not always to blame

Presentamos el caso de una paciente sometida a una cirugía correctora de pie bajo anestesia locorregional con bloqueo nervioso periférico ciático poplíteo ecoguiado. Como complicación postoperatoria se objetivó una lesión de nervio peroneo. Indicamos el diagnóstico diferencial y la estrategia terapéutica que se debe plantear ante una lesión de nervio periférico. En nuestro caso se trata de una axonotmesis de alto grado secundaria a compresión extrínseca e isquemia producida por el manguito de isquemia colocado en el tobillo utilizado durante la cirugía, que no guarda relación con la técnica anestésica (AU)

We introduce a case report of a woman that was operated of foot surgery under locoregional anesthesia with an echo-guided peripheral sciatic-popliteal nerve block. As post operatory complication a peroneal nerve injury was noticed. We revised differential diagnosis of peripheral nerve block and therapeutic strategy we should take. In our case the finding was a high degree axonotmesis secondary to extrinsic compressure due to pneumatic tourniquet placed in the ankle used during surgery. There was no relationship with the anesthetic technique (AU)

[Peroneal nerve injury: anesthesia is not always to blame]. / Lesión de nervio peroneo: no siempre la anestesia es la culpable.

We introduce a case report of a woman that was operated of foot surgery under locoregional anesthesia with an echo-guided peripheral sciatic-popliteal nerve block. As post operatory complication a peroneal nerve injury was noticed. We revised differential diagnosis of peripheral nerve block and therapeutic strategy we should take. In our case the finding was a high degree axonotmesis secondary to extrinsic compressure due to pneumatic tourniquet placed in the ankle used during surgery. There was no relationship with the anesthetic technique.