Conflict of interest: None declared.
Respiratory distress in a one-month-old child suffering brachial plexus palsy
Article first published online: 12 SEP 2012
© 2012 The Authors. Journal of Paediatrics and Child Health © 2012 Paediatrics and Child Health Division (Royal Australasian College of Physicians)
Journal of Paediatrics and Child Health
Volume 49, Issue 1, pages E90–E92, January 2013
How to Cite
Héritier, O., Vasseur Maurer, S., Reinberg, O., Cotting, J. and Perez, M.-H. (2013), Respiratory distress in a one-month-old child suffering brachial plexus palsy. Journal of Paediatrics and Child Health, 49: E90–E92. doi: 10.1111/j.1440-1754.2012.02553.x
- Issue published online: 16 JAN 2013
- Article first published online: 12 SEP 2012
- Accepted for publication 5 December 2011.
- diaphragmatic plication;
- laparoscopic surgery;
- phrenic nerve paralysis
This paper describes a one-month-old girl presenting with respiratory and growth failure due to diaphragmatic paralysis associated with left brachial plexus palsy after forceps delivery. Despite continuous positive pressure ventilation and nasogastric feeding, the situation did not improve and a laparoscopic diaphragmatic plication had to be performed. When dealing with a child born with brachial plexus palsy, one must think of this possible association and if necessary proceed to the complementary radiological examinations. The treatment must avoid complications like feeding difficulties and failure to thrive, respiratory infections or atelectasis. It includes intensive support and a good evaluation of the prognosis of the lesion to decide the best moment for a surgical therapy.