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McNicholas E, Bilotta F, Titi L, et al. Transient facial nerve palsy after auriculotemporal nerve block in awake craniotomy patients. A A Case Rep. 2014;2(4):40-3doi: 10.1097/ACC.0b013e3182a8ee71.
McNicholas, E., Bilotta, F., Titi, L., Chandler, J., Rosa, G., & Koht, A. (2014). Transient facial nerve palsy after auriculotemporal nerve block in awake craniotomy patients. A & A case reports, 2(4), 40-3. https://doi.org/10.1097/ACC.0b013e3182a8ee71
McNicholas, Erin, et al. "Transient facial nerve palsy after auriculotemporal nerve block in awake craniotomy patients." A & A case reports vol. 2,4 (2014): 40-3. doi: https://doi.org/10.1097/ACC.0b013e3182a8ee71
McNicholas E, Bilotta F, Titi L, Chandler J, Rosa G, Koht A. Transient facial nerve palsy after auriculotemporal nerve block in awake craniotomy patients. A A Case Rep. 2014 Feb 15;2(4):40-3. doi: 10.1097/ACC.0b013e3182a8ee71. PMID: 25611249.
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A A Case Rep. 2014 Feb 15;2(4):40-3. doi: 10.1097/ACC.0b013e3182a8ee71.

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

A & A case reports

Erin McNicholas, Federico Bilotta, Luca Titi, James Chandler, Giovanni Rosa, Antoun Koht

Affiliations

  1. 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.

PMID: 25611249 DOI: 10.1097/ACC.0b013e3182a8ee71

Abstract

In 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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