BRACHIAL-PLEXUS INJURY WITH COUGH ATTACK - CASE-REPORT

COUGH ATTACKS ELICITED by movement of the neck and right arm are repor ted in a patient who had sustained several shoulder injuries and who h ad an anterior scalenectomy. The coughing was accompanied by weakness in the right upper limb. At exploration, the phrenic nerve was found a dhered to the brachial plexus. The cough attacks disappeared, and the weakness of the right upper limb improved somewhat after lysis of the adhesions between the phrenic nerve and the plexus and after external neurolysis of the upper, middle, and lower trunks. Postoperatively, th e patient could elevate his right arm without coughing.