| Brachial plexus trauma: the morbidity of hemidiaphragmatic paralysis. | |
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MedLine Citation:
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PMID: 18723725 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Phrenic nerve palsy has previously been associated with brachial plexus root avulsion; severe unilateral phrenic nerve injury is not uncommonly associated with brachial plexus injury. Brachial plexus injuries can be traumatic (gunshot wounds, lacerations, stretch/contusion and avulsion injuries) or non-traumatic in aetiology (supraclavicular brachial plexus nerve block, subclavian vein catheterisation, cardiac surgeries, or obstetric complications such as birth palsy). Despite the known association, the incidence and morbidity of a phrenic nerve injury and hemidiaphragmatic paralysis associated with traumatic brachial plexus stretch injuries remains ill-defined. The incidence of an associated phrenic nerve injury with brachial plexus trauma ranges from 10% to 20%; however, because unilateral diaphragmatic paralysis often presents without symptoms at rest, a high number of phrenic nerve injuries are likely to be overlooked in the setting of brachial plexus injury. A case report is presented of a unilateral phrenic nerve injury associated with brachial plexus stretch injury presenting with a recalcitrant left lower lobe pneumonia. |
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Authors:
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O I Franko; Z Khalpey; J Gates |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Emergency medicine journal : EMJ Volume: 25 ISSN: 1472-0213 ISO Abbreviation: Emerg Med J Publication Date: 2008 Sep |
Date Detail:
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Created Date: 2008-08-25 Completed Date: 2008-11-17 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 100963089 Medline TA: Emerg Med J Country: England |
Other Details:
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Languages: eng Pagination: 614-5 Citation Subset: IM |
Affiliation:
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Department of Surgery, Brigham and Womens Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Accidents, Traffic Adult Brachial Plexus / injuries* Humans Male Methicillin Resistance Phrenic Nerve / injuries* Pneumonia, Bacterial / drug therapy, radiography Pulmonary Atelectasis / ultrasonography Respiratory Paralysis / etiology*, radiography, ultrasonography Staphylococcal Infections / drug therapy, radiography Staphylococcus aureus Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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