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- Chukwudi O Chiaghana and Caleb A Awoniyi.
- Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, USA. Electronic address: chuks.chiaghana@gmail.com.
- J Clin Anesth. 2016 Nov 1; 34: 571-6.
AbstractHemidiaphragmatic paralysis is the most common adverse effect associated with interscalene block. In most cases, it resolves with the resolution of nerve blockade with only an estimated incidence of 0.048% persisting for longer duration. Occasionally, interscalene block is also associated with recurrent laryngeal nerve block and seldom with cranial nerve paresis. We present a case of delayed onset and prolonged hemidiaphragmatic paralysis that was associated with 3 cranial nerve deficits after interscalene nerve block for shoulder surgery performed under general anesthesia in the beach chair position. Etiology is unclear, but most likely multifactorial. Published by Elsevier Inc.
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