| A Case of Unilateral Diaphragmatic Paralysis with Brachial Plexus Palsy in the Neonate |
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Hae Joong Yoon1, Kyeung Ho Park1, Sang Hee Kim1, Kye Whan Seul1, Gil Hyun Kim1, Hak Soo Lee1, Chang Young Lim2 |
1Department of Pediatrics, General Ghil Hospital, Incheon, Korea
2Department of Thoracic Surgery, General Ghil Hospital, Incheon, Korea |
| 상지 마비를 동반한 신생아 편측성 횡격막 마비 1례 |
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윤해중1, 박경호1, 김상희1, 설계환1, 김길현1, 이학수1, 임창영2 |
1중앙길병원 소아과
2중앙길병원 흉부외과 |
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| Abstract |
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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. |
| Key Words:
Diaphragmatic paralysis, Brachial plexus palsy, Plication of diaphragm |
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