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