1. Rare case of a newborn baby with left-sided Erb's palsy and a contralateral/right-sided paralysis of the diaphragm.
- Author
-
Pegu S, Deb B, and Kalapesi Z
- Subjects
- Birth Injuries surgery, Brachial Plexus physiopathology, Brachial Plexus Neuropathies surgery, Diagnosis, Differential, Female, Humans, Infant, Newborn, Paralysis surgery, Risk Factors, Birth Injuries physiopathology, Brachial Plexus Neuropathies physiopathology, Diaphragm physiopathology, Diaphragm surgery, Paralysis physiopathology, Vacuum Extraction, Obstetrical adverse effects
- Abstract
Brachial plexus birth injury (BPBI) and phrenic nerve injury can sometimes occur concurrently in neonates following difficult deliveries like breech presentation, shoulder dystocia, forceps or vacuum extraction. Phrenic nerve palsy should be suspected in a newborn with respiratory distress and an elevated hemidiaphragm on the imaging studies in presence of the associated risk factors. The right side is affected more often than the left side and most of it is associated with BPBI. We present here a rare case of a newborn baby with a left-sided Erb's palsy and a contralateral/right-sided diaphragmatic paralysis who recovered from the persistent respiratory distress and feeding difficulties following plication of the diaphragm. The left-sided Erb's palsy also fully recovered at follow-up examination., Competing Interests: Competing interests: None declared., (© BMJ Publishing Group Limited 2018. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2018
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