title: A Rare Complication of Central Venous Catheter Extravasation in a Preterm Neonate: Hemidiaphragmatic Paralysis.
abstract: We report a case of a preterm neonate born at 26 weeks' of gestation diagnosed with unilateral diaphragmatic paralysis. This paralysis was a consequence of a phrenic nerve injury due to extravasation of hyperosmolar parenteral nutrition fluid in the upper thorax. Chest X-rays and ultrasonography confirmed the diagnosis. The neonate was treated with prolonged respiratory support and did not require surgical treatment. This report describes a case of hemidiaphragmatic paralysis as a complication of central venous catheter insertion. In neonates, spontaneous recovery of diaphragmatic paralysis is possible. This study concludes that recovery of extravasation injury-induced phrenic nerve palsy in the context of conservative management is possible.
authors.affiliation: University François Rabelais, Faculty of Medecine, Tours, France; Neonatal and Pediatric Intensive Care Unit, Hôpital Clocheville, Tours, France.
authors.forename: C
authors.initials: C
authors.lastname: Hobson
authors.affiliation: University François Rabelais, Faculty of Medecine, Tours, France; Neonatal and Pediatric Intensive Care Unit, Hôpital Clocheville, Tours, France.
authors.forename: D
authors.initials: D
authors.lastname: Dubillot
authors.affiliation: University François Rabelais, Faculty of Medecine, Tours, France; Pediatric Surgery Department, Hôpital Clocheville, Tours, France.
authors.forename: H
authors.initials: H
authors.lastname: Lardy
authors.affiliation: University François Rabelais, Faculty of Medecine, Tours, France; Pediatric Radiology Department, Hôpital Clocheville, Tours, France.
authors.forename: D
authors.initials: D
authors.lastname: Sirinelli
authors.affiliation: University François Rabelais, Faculty of Medecine, Tours, France; Neonatal and Pediatric Intensive Care Unit, Hôpital Clocheville, Tours, France.
authors.forename: E
authors.initials: E
authors.lastname: Saliba
authors.affiliation: Neonatal and Pediatric Intensive Care Unit, Hôpital Clocheville, Tours, France.
authors.forename: E
authors.initials: E
authors.lastname: Lopez
keywords: central venous catheter; diaphragmatic paralysis; diaphragmatic plication; neonate