Open AccessPhrenic nerve palsy: A rare cause of respiratory distress in newborn
Author(s) -
V. S. S. Yerramilli Murty,
K Dinedra Ram
Publication year - 2012
Publication title -
journal of pediatric neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.247
H-Index - 18
eISSN - 1998-3948
pISSN - 1817-1745
DOI - 10.4103/1817-1745.106487
Subject(s) - medicine , respiratory distress , phrenic nerve , anesthesia , diaphragm (acoustics) , paralysis , continuous positive airway pressure , birth trauma , mechanical ventilation , respiratory system , airway , surgery , pregnancy , anatomy , physics , genetics , biology , acoustics , loudspeaker , obstructive sleep apnea
Birth injury is defined as an impairment of a newborn's body function or structure due to adverse influences that occurred at birth. Phrenic nerve palsy may result from birth trauma during a traumatic neonatal delivery from a stretch injury due to lateral hyperextension of the neck at birth. This could be a rare cause of respiratory distress in the newborn period with irregular respiration. Respiratory distress due to phrenic nerve damage leading to paralysis of the ipsilateral diaphragm may require continuous positive airway pressure or mechanical ventilation and if unresponsive, surgical plication of diaphragm. Herein, we report a case of phrenic nerve palsy in a newborn presenting with respiratory distress.