Scalp Nerve Block In Reconstructive Craniotomy: A Case Report
Keywords:
Scalp Nerve Block, Reconstructive CraniotomyAbstract
Scalp block is an option in head surgery with certain procedures, namely when patient awareness is required, or techniques that require patient functional assessment and craniotomy. This block is performed on the supra orbital nerve, supra trochlea, zygomaticum temporal, auriculo temporal, auricular major, greater occipital and lesser occipital. We report a case of a 55-year-old man with Mild Traumatic Brain Injury GCS 14 + fracture of the Os Frontalis Sinistra, anterior wall of the Sinus Maxillaris dextra et sinisra and Os Zygomaticum sinistra, simultaneously for reconstructive craniotomy with scalp block anesthesia technique for post-surgical pain management. During the operation, hemodynamics were stable without complications. Post-surgery the patient was moved to the recovery room without complaints.
References
Ames PR, Pollack GJ. Nerve blocks of the face. NYSORA Textbook of Regional Anesthesia and Acute Pain Management. https://www.nysora.com/techniques/headand-neck-blocks/nerve-blocks-face/
Guilfoyle MR, Helmy A, Duane D, Hutchinson PJ. Regional scalp block for postcraniotomy analgesia: a systematic review and meta analysis. Anesth Analg 2019; 116:1093
Tonković D. Regional anesthesia for neurosurgery. Acta Clin Croat. 2019; 58(Suppl 1): 48–52.
Potters JW, Klimek M. Local anesthetics for brain tumor resection: current perspectives. Journals Local and Regional Anesthesia 2017: 11.
Singh D. Thakur R. Rashmi N, Mangal V. Scalp block with bupivacaine and ropivacaine for attenuation of haemodynamic response to head pinning in neurosurgical patients an observational study. Indian Journal of Clinical Anaesthesia, January-March 2019;6(1):6–10
Morgan GE Jr, Mikhail MS, Murray MJ. Clinical Anesthesiology. 4th ed. New York, McGraw-Hill companies. 2020; 216–7.
Osborn I, Sobeo J. Scalp block during craniotomy: a classic technique revisited. J Neurosurg Anesthesiol 2020; 0(00).
Bisri DY, Bisri T. Awake craniotomy: pengalaman dengan dexmedetomidin. Jurnal Neuroanestesi Indonesia. 2019:4(3).
Hassan MH, Hassan WMNW, Kandasamy R, Eu ChS. Unilateral complete ptosis after scalp block for awake craniotomy: A rare complication. J Neuroanaesthesiol Crit Care 2018;5:111–13.
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Copyright (c) 2025 Milhiandana Mitresna Salsabila, H. Andi Husni Tanra, Muhammad Wirawan Harahap (Author)
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