This case involved a 45-year-old male patient with a significant past medical history of shoulder pain secondary to a sports related rotator cuff injury. The patient underwent a brachial plexus interscalene block procedure for pain management therapy. As a consequence of treatment, the patient suffered severe damage to the phrenic nerve and resultant paralysis of the diaphragm.
Question(s) For Expert Witness
1. How common is a phrenic nerve injury and what are its causes?
Expert Witness Response
Peripheral phrenic nerve injuries result from damage to the nerve along its path in the cervical area or the thorax. A number of clinical entities can affect the phrenic nerve directly, including trauma, open heart surgery or thoracic surgery, chiropractic cervical spine manipulation, radiation therapy, or demyelinating diseases. This condition is relatively uncommon after surgery since its pathway should be noted by major anatomical landmarks and great care should be taken to avoid such a major nerve and all of its branches.
About the author
Michael Talve, CEO
Michael Talve stands at the forefront of legal innovation as the CEO and Managing Director of Expert Institute. Under his leadership, the Expert Institute has established itself as a vital player in the legal technology arena, revolutionizing how lawyers connect with world-class experts and access advanced legal technology. Michael's role involves not only steering the company's strategic direction but also ensuring the delivery of unparalleled intelligence and cutting-edge solutions to legal professionals. His work at Expert Institute has been instrumental in enhancing the capabilities of attorneys in case preparation and execution, making a significant impact on the legal industry's approach to expert consultation and technological integration. Michael's vision and execution have positioned the Expert Institute as a key facilitator in the intersection of law and technology.
