A Case of Unilateral Diaphragmatic Paralysis with Brachial Plexus Palsy in the Neonate
Journal of the Korean Pediatric Society
;
: 553-557, 1998.
Article
in Korean
| WPRIM
| ID: wpr-10408
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paralysis
/
Apnea
/
Asphyxia
/
Respiratory Insufficiency
/
Respiratory Paralysis
/
Pulmonary Atelectasis
/
Thorax
/
Ventilation
/
Weaning
/
Brachial Plexus
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Humans
/
Male
/
Infant, Newborn
Language:
Korean
Journal:
Journal of the Korean Pediatric Society
Year:
1998
Type:
Article
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