PMC4728540_01
(a) Ultrasound image of the brachial plexus between the anterior and middle scalene muscle. Arrows indicate brachial plexus (BP); (b) Ultrasound image of spreading the drugs around the brachial plexus. Arrowheads indicate the needle. Arrows indicate BP. ASM anterior scalene muscle, MSM middle scalene muscle, SCM sternocleidomastoid muscle, * injected drug surrounding the BP.
toxins-08-00018-g001.jpg
PMC4728540_01_toxins-08-00018-g001.jpg
toxins-08-00018-f001
The needle (BD, Singapore, Singapore, 50 mm 25G) was inserted in-plane into the interscalene groove between the anterior and middle scalene muscles using 10 mL of 0.4% lidocaine (Figure 1). Since 50 Botox units were reconstituted in 2 mL of 0.9% normal saline, total volume injected was 12 mL (Figure 1).
PMC4728540_02
(a) Picture of severe bruise after fall due to dizziness of adverse effect of medication in Case 2; (b) Ultrasound image of the lumbar plexus block in the posterior part of the psoas muscle (PM). Arrows indicate lumbar plexus (LP). Arrowheads indicate the needle. ESM erector spinae mescle, PM psoas muscle, TPL4 transverse process of L4, TPL5 transverse process of L5.
toxins-08-00018-g002.jpg
PMC4728540_02_toxins-08-00018-g002.jpg
toxins-08-00018-f002
A few days later, he revisited complaining of a fall due to dizziness (Figure 2a). After negative aspiration through the needle, the drug was injected in real time (Figure 2b). Since 50 Botox units were reconstituted in 2 mL of 0.9% normal saline, total volume injected was 12 mL (Figure 2b).