Abstract | BACKGROUND: CASE PRESENTATION: We present a two-hour-old male newborn with a birth weight of 4500 grams who had a right-sided brachial plexus palsy and right diaphragmatic paralysis due to shoulder dystocia. He developed respiratory distress due to isolated paralysis of the right hemi diaphragm. The clinical course was progressive, his condition worsening despite oxygen application. Physical examination, chest X-rays and M-mode ultrasonography of the diaphragm confirmed the diagnosis diaphragmatic paralysis. Surgical plication of diaphragm was done earlier than the usual time because of recurrent extubation failure. Diaphragmatic plication led to rapid improvement of pulmonary function and allowed discontinuation of mechanical ventilation in less than 3 days. CONCLUSION:
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Authors | Mousa Ahmadpour-Kacho, Yadollah Zahedpasha, Abbas Hadipoor, Zahra Akbarian-Rad |
Journal | Iranian journal of pediatrics
(Iran J Pediatr)
Vol. 21
Issue 1
Pg. 116-20
(Mar 2011)
ISSN: 2008-2150 [Electronic] Netherlands |
PMID | 23056776
(Publication Type: Case Reports)
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