Transient Ipsilateral Lower Limb Paresis after Interscalene Brachial Plexus Block


We describe a partial motor block of ipsilateral lower limb after interscalene block with the injection of 40 ml of 0.5% bupivacaine and 2% lignocaine with adrenaline. Immediately after the block, patient reported a right motor hemi syndrome which was transient. We concluded that the neurological symptom was caused by the technique of interscalene brachial plexus block may be as a result of excessive lateral deviation of the neck with a compromised collateral circulation.

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Idehen, O. and Amadasun, F. (2014) Transient Ipsilateral Lower Limb Paresis after Interscalene Brachial Plexus Block. Case Reports in Clinical Medicine, 3, 157-160. doi: 10.4236/crcm.2014.33038.

Conflicts of Interest

The authors declare no conflicts of interest.


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