Multiple sclerosis (MS) is an autoimmune disease characterized by demyelination of mainly central nervous system (CNS). However, several reports have demonstrated involvement of peripheral nervous system (PNS) as well. Generally, neuraxial blocks are avoided in patients with MS and safety of peripheral nerve blocks (PNBs) are not clearly established. Unfortunately, the literature available on PNBs in MS patients is limited. We report a case of 33 years old patient, a known case of End Stage Renal Disease (ESRD) and MS, scheduled for arteriovenous (AV) fistula creation under successful Supraclavicular Brachial Plexus block without any post-operative residual neurological deficit.
Multiple Sclerosis; Regional Anesthesia; Supraclavicular Block; Double-crush Phenomenon