II. Pathophysiology
- Associated with Brachial Birth Trauma
- Unilateral diaphragm paralysis
III. Signs
- Respiratory distress
- Diminished breath sounds on affected side
IV. Radiology: Ultrasound or Fluoroscopy of diaphragm
- Diaphragm elevated on affected side
- Affected diaphragm moves upward with inspiration
V. Management
- Pulmonary toilet while resolving
- Refractory cases
- Diaphragmatic plication
- Phrenic nerve pacing
VI. Course
- Resolves over 1 to 3 months