Injection Palsy of Peripheral Nerves

Authors

  • Raghav Singla Department of Neurosurgery, AIIMS, New Delhi, India
  • Shashi Kala Tiwary Department of Community Medicine, Armed Forces Medical College, Pune, Maharashtra, India
  • Het Shah Department of Neurosurgery, AIIMS, New Delhi, India
  • Rajeev Sharma Department of Neurosurgery, AIIMS, New Delhi - 110029, India

Keywords:

injection palsy, peripheral nerves, intramuscular injection, neuroma, neurolysis

Abstract

Accidental injection of the drug either into the nerve tissue or around the nerve during an intramuscular injection can lead to peripheral nerve dysfunction. Recommended treatment ranges from conservative management to immediate operative exposure and irrigation, early or delayed neurolysis, and resection following by cable grafting after 8 weeks. An intramuscular route for injection is strongly discouraged when a drug can be given by other routes. Only well qualified, competent, and certified staff or paramedical workers should be allowed to administer intramuscular injections.

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Published

2023-03-20