A Rare Case of Contralateral Diaphragm Paralysis following Birth Injury with Brachial Plexus Palsy: A Case Report and Review of the Literature
المؤلفون المشاركون
Reiter, Audra J.
Rizeq, Yazan K.
Many, Benjamin T.
Vacek, Jonathan C.
Abdullah, Fizan
Goldstein, Seth D.
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-11-12
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Clinical History.
A 4.4 kg male was born to a 25-year-old, G2P1, nondiabetic woman at 39 and 5/7 weeks.
Delivery was complicated by shoulder dystocia requiring forceps-assisted vaginal delivery, resulting in left arm Erb’s palsy secondary to left brachial plexus injury.
He was born with low muscle tone and bradycardia and subsequently required intubation for poor respiratory effort.
He was extubated on day one of life but continued to be tachypneic and have borderline oxygen saturation, requiring intensive care.
Chest radiographs demonstrated a progressive clearing of his lung fields, consistent with presumptively diagnosed meconium aspiration.
However, a persistent elevation of the right hemidiaphragm was noted, and his tachypnea and increased work of breathing continued.
Focused ultrasound of the diaphragm was performed, confirming decreased motion of the right hemidiaphragm.
Following a multidisciplinary discussion, thoracoscopic right diaphragm plication was performed on the 33rd day of life.
He was extubated postoperatively and subsequently weaned to room air with a notable decrease in tachypnea over 48 hours.
He was discharged on postoperative day 12 and continues to thrive at 6 months of age without respiratory embarrassment.
Purpose.
Ipsilateral phrenic nerve injury with diaphragm paralysis from shoulder dystocia during vaginal delivery is a recognized phenomenon.
Herein, we present a case of contralateral diaphragm paralysis in order to draw attention to the clinician that this discordance is possible.
Key Points.
According to Raimbault et al., clinical management of newborns who experience birth injury is a multidisciplinary effort.
According to Fitting and Grassino, though most cases of phrenic nerve injuries are ipsilateral to shoulder dystocia brachial plexus palsy, contralateral occurrence is possible and should be considered.
According to Waters, diaphragm plication is a safe and effective operation.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Reiter, Audra J.& Rizeq, Yazan K.& Many, Benjamin T.& Vacek, Jonathan C.& Abdullah, Fizan& Goldstein, Seth D.. 2020. A Rare Case of Contralateral Diaphragm Paralysis following Birth Injury with Brachial Plexus Palsy: A Case Report and Review of the Literature. Case Reports in Pediatrics،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1150761
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Reiter, Audra J.…[et al.]. A Rare Case of Contralateral Diaphragm Paralysis following Birth Injury with Brachial Plexus Palsy: A Case Report and Review of the Literature. Case Reports in Pediatrics No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1150761
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Reiter, Audra J.& Rizeq, Yazan K.& Many, Benjamin T.& Vacek, Jonathan C.& Abdullah, Fizan& Goldstein, Seth D.. A Rare Case of Contralateral Diaphragm Paralysis following Birth Injury with Brachial Plexus Palsy: A Case Report and Review of the Literature. Case Reports in Pediatrics. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1150761
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1150761
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر