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Phrenic Nerve Palsy Associated With Brachial Plexus Avulsion in a Pediatric Patient With Multitrauma

Karaoğlu, Pakize MD*; Yiş, Uluç MD*; Öztura, İbrahim MD; Akdoğan, Özlem MD; Bayram, Erhan MD*; Topçu, Yasemin MD*; Hz, Semra MD

Pediatric Emergency Care:
doi: 10.1097/PEC.0b013e31829ec20b
Illustrative Cases
Abstract

Abstract: Although brachial plexus injury occurring during multitrauma is frequent in adults, it is rarely observed in childhood. The most common cause of pediatric traumatic brachial palsy is motor vehicle accidents followed by pedestrian struck. Generally, phrenic nerve palsy accompanying brachial plexus trauma is observed in 10% to 20% of cases, but it is overlooked because unilateral injuries are frequently asymptomatic. Severe unilateral phrenic nerve palsy accompanying brachial plexus avulsion is very rare. Here, we present a pediatric case of unilateral phrenic nerve palsy associated with respiratory distress and brachial plexus avulsion due to multitrauma.

Author Information

From the Department of *Pediatric Neurology and †Department of Neurology, Dokuz Eylul University Medical School, Izmir; and ‡Department of Neurology, Mustafa Kemal Paşa State Hospital, Bursa, Turkey.

Disclosure: The authors declare no conflict of interest.

Reprints: Pakize Karaoğlu, MD, Department of Pediatric Neurology, Dokuz Eylul University Medical School, 35340, Inciraltı, Izmir, Turkey (e-mail: pakizekaraoglu@gmail.com).

© 2013 Lippincott Williams & Wilkins, Inc.