Case Report

A Rare Case of Contralateral Diaphragm Paralysis following Birth Injury with Brachial Plexus Palsy: A Case Report and Review of the Literature

Table 1

Pertinent cases of newborns who suffered birth trauma and PNI with diaphragm paresis [1, 811, 13, 15, 16, 23, 24].

StudyPatientsSexPhrenic nerve injury side (R/L/B)Laterality paralysis(R/L/B)Birth injuryRadiologyDay of plication following diagnosisDays/months following surgery to wean off MV

Bowman et al. [26]1MaleBBBreech presentationX-ray14014 days
Jawad et al. [10]31 male
2 females
3R R,R1B, 2R1 breech
2 p
rolonged labour
X-ray
US
28, 42, NPNR
Commare et al. [27]31 male
2 females
3 B3 B3 breech presentationX-ray
US
NP 2, 604mos
De vries et al. [1]1812 males
6 females
4L, 14R4L, 14R11 breech presentation
4 v
acuum delivery
2 e
xcessive b
irth weight
1 f
orceps
X-ray
US
10, 32, 33 22, 45, 46, 62, 86, 105, 154, 189, 210, 292, NR, NR, NR, NR, NR“All patients who underwent plication were discontinued within a few days after operation”
Shmizu et al. [15]1MaleBBBreech presentationX-ray
US
458 days
Karabiber et al. [28]1MaleLLShoulder dystocia
Breech presentation
X-ray
US
565 days
Stramrood et al. [8]147 males
7 females
10R, 3L
1B
10R, 3L
1B
4 breech presentation
3 cephalic
4 breech presentation
2 cephalic
1 transverse
X-ray
US
10, 12, 13, 15, 17, 20 (2), 23, 50, 51, NP 3NR (4), 2 days (2), 3 days (2), 4 days, 6 days (2), 8 days, 17 days, 58 days
Ahamdpour-kacho et al. [16]1MaleRRBreech presentationX-ray
US
<303 days
Heritier et al. [29]1FemaleLLForcepsX-ray
US
3 days
Shiohama et al. [30]21 male
1 female
R
B
R
B
Breech presentation
Uneventful
X-ray
US
>30
15 
months
NR (2)
Bowerson et al. [11]43 males
1 female
2B, 2R1B, 3R, 1B, 3R2 shoulder dystocia
Forceps
Breech
X-ray
US
30, 35, 60, NR3 days, 5 days, 13 days, NR
Murty et al. [9]1FemaleRRBreech presentationX-ray
US
NP7 days
Garge et al. [23]1MaleRRBreech presentationX-ray
US
173 days
Pegu et al. [31]1FemaleLRVacuum delivery
Large for gestational age
X-ray
US
602 months

NP: no plication, NR: not reported.