A Case of Unilateral Diaphragmatic Paralysis with Brachial Plexus Palsy in the Neonate.
- Author:
Hae Joong YOON
1
;
Kyeung Ho PARK
;
Sang Hee KIM
;
Kye Whan SEUL
;
Gil Hyun KIM
;
Hak Soo LEE
;
Chang Young LIM
Author Information
1. Department of Pediatrics, General Ghil Hospital, Incheon, Korea.
- Publication Type:Case Report
- Keywords:
Diaphragmatic paralysis;
Brachial plexus palsy;
Plication of diaphragm
- MeSH:
Apnea;
Asphyxia;
Brachial Plexus*;
Cyanosis;
Diagnosis;
Diaphragm;
Follow-Up Studies;
Humans;
Infant, Newborn*;
Intubation, Intratracheal;
Male;
Paralysis*;
Parturition;
Pulmonary Atelectasis;
Respiratory Insufficiency;
Respiratory Paralysis*;
Thorax;
Ultrasonography;
Ventilation;
Weaning
- From:Journal of the Korean Pediatric Society
1998;41(4):553-557
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The diaphragm is especially important in sustaining minute ventilation in the neonate. Consequently, diaphragmatic paralysis is not tolerated well by the neonate and often results in prolonged respiratory failure. We experienced a case of unilateral diaphragmatic paralysis with the brachial plexus palsy in a male newborn infant who presented with apnea and cyanosis due to birth asphyxia. After endotracheal intubation, mechanical ventilaton was started. At two weeks after therapy, chest X-ray showed atelectasis and elevation of the right hemidiaphragm. The diagnosis of unilateral diaphragmatic paralysis was confirmed by real-time ultrasonography. At 4 weeks old, after several unsuccessful attempts at weaning from ventilatory support, right hemidiaphragm was plicated. On the second postoperative day, he could be weaned from ventiatory support without difficulty. He was doing well at follow-up 3 months later.
