n South African Journal of Child Health - A rare case of diaphragmatic paralysis due to isolated phrenic nerve palsy in a neonate : case report




Isolated phrenic nerve palsy is a rare result of birth injury, and carries a high respiratory morbidity if complicated by diaphragmatic paralysis. I report an unusual case of phrenic nerve palsy in a neonate delivered by vacuum extraction, with no shoulder dystocia or brachial plexus injury, and challenge the conventional understanding of the true incidence, pathogenesis and proper management of this condition.


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