Delayed onset and long-lasting hemidiaphragmatic paralysis and cranial nerve deficit after interscalene nerve block for rotator cuff repair in beach chair position.
Hemidiaphragmatic 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.
Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, USA. Electronic address: chuks.chiaghana@gmail.com.
Chukwudi O
CO
Chiaghana
Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, USA; North Florida/South Georgia Veterans Affairs Medical Center, Gainesville, FL, USA. Electronic address: caleb.awoniyi@va.gov.
Caleb A
CA
Awoniyi
D000577:Amides / Q000008:administration & dosage / Q000009:adverse effects*; D000768:Anesthesia, General; D000772:Anesthesia, Local / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000009:adverse effects*; D001917:Brachial Plexus / Q000187:drug effects*; D003391:Cranial Nerves / Q000187:drug effects*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009407:Nerve Block / Q000009:adverse effects*; D056888:Patient Positioning; D011859:Radiography; D012133:Respiratory Paralysis / Q000000981:diagnostic imaging / Q000209:etiology*; D000077212:Ropivacaine; D000070636:Rotator Cuff Injuries / Q000601:surgery*; D018084:Ultrasonography, Interventional
D000577:Amides; D000779:Anesthetics, Local; D000077212:Ropivacaine
Beach chair position; Cranial nerve deficit; Hemidiaphragmatic paralysis; Interscalene nerve block; Intraneural injection; Local anesthetic toxicity