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Brachial plexus injury with hemidiaphragmatic palsy: An anesthetic overview


1 Department of Anaesthesiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
2 Department of Plastic, Craniofacial and Micro Surgery, Vivekananda Polyclinic Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
3 Department of Anaesthesiology, Vivekananda Polyclinic Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Correspondence Address:
Amit Rastogi,
Department of Anaesthesiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0259-1162.164733

Phrenic nerve trauma in the absence of direct injury is unusual. Unilateral phrenic nerve injuries are not uncommonly associated with brachial plexus injury. The incidence and morbidity of a phrenic nerve injury along with associated hemidiaphragmatic paralysis seen in traumatic brachial plexus injuries remains poorly defined. Since unilateral diaphragmatic paralysis are usually asymptomatic at rest, a high number of phrenic nerve injuries are likely to be missed in the setting of brachial plexus injury but however it become more complicated when there is a lung pathology in the contra lateral lung or there is preexisting lung disease. We present case report in which our patient was posted for brachial plexus repair surgery and he presented to us with reduced air entry on the base of the right side of chest as a significant clinical finding during preoperative assessment.


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    -  Rastogi A
    -  Kumar A
    -  Kumar S
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