Brazilian Journal of Anesthesiology
Brazilian Journal of Anesthesiology
Case Report

Permanent hemidiaphragmatic paresis after interscalene brachial plexus block: a case report

Paresia hemidiafragmática pemanente após bloqueio interescaleno do plexo braquial: relato de caso

Nina Cugnin, Benjamin Le Gaillard, Edmundo Pereira de Souza Neto

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Interscalene brachial plexus block has been widely used in shoulder surgery. We report one case of long-term phrenic palsy following ultrasound-guided interscalene brachial plexus block and we will discuss the possible etiology and mechanism of this disability. For painful shoulder surgery, ultrasound-guided interscalene brachial plexus block remains topical. Alternative blocks, such as suprascapular and axillary blocks, may be reserved for patients with pre-existing respiratory pathology.


Regional anesthetic techniques;  Interscalene block;  Neurologic symptoms


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