Phrenic nerve palsy associated with brachial plexus avulsion in a pediatric patient with multitrauma.
Although brachial plexus injury occurring during multitrauma is frequent in adults, it is rarely observed in childhood. The most common cause of pediatric traumatic brachial palsy is motor vehicle accidents followed by pedestrian struck. Generally, phrenic nerve palsy accompanying brachial plexus trauma is observed in 10% to 20% of cases, but it is overlooked because unilateral injuries are frequently asymptomatic. Severe unilateral phrenic nerve palsy accompanying brachial plexus avulsion is very rare. Here, we present a pediatric case of unilateral phrenic nerve palsy associated with respiratory distress and brachial plexus avulsion due to multitrauma.
Department of Pediatric Neurology, Dokuz Eylul University Medical School, Izmir, Turkey. pakizekaraoglu@gmail.com
Pakize
P
Karaoğlu
Uluç
U
Yiş
Ibrahim
I
Öztura
Özlem
Ö
Akdoğan
Erhan
E
Bayram
Yasemin
Y
Topçu
Semra
S
Hiz
D000063:Accidents, Traffic; D001917:Brachial Plexus / Q000293:injuries* / Q000473:pathology; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009104:Multiple Trauma / Q000150:complications*; D010243:Paralysis / Q000209:etiology*; D010523:Peripheral Nervous System Diseases / Q000209:etiology*; D010791:Phrenic Nerve