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Anesth Analg 1977; 56:585-586
© 1977 International Anesthesia Research Society
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Hoarseness and Horner's Syndrome After Interscalene Brachial Plexus Block

JOSEPH L. SELTZER, MD*

*Assistant Clinical Professor, Department of Anesthesiology, Wright State University School of Medicine; Staff Anesthesiologist, USAF Medical Center, Wright-Patterson AFB, Ohio 45433.

Abstract

ANESTHESIA for shoulder operations can A be obtained by a single-injection brachial plexus block.1 The interscalene approach to the brachial and cervical plexuses is based on the concept of a continuous fascial sheath which extends from the cervical vertebrae to the axilla and contains elements of both the cervical and brachial plexuses. As the subclavian artery passes between the anterior and middle scalene muscles, it enters this sheath and continues distally within the sheath as the axillary artery. This report describes the onset of hoarseness and a Horner's syndrome (ptosis of the upper eyelid, miosis, and enophthalmos) secondary to stellate ganglion block after a cervicobrachial plexus block using a single interscalene injection.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1977 by the International Anesthesia Research Society.