Bilateral phrenic-nerve paralysis treated by thoracoscopic diaphragmatic plication in a neonate

Shimizu, Masaki
April 2003
Pediatric Surgery International;Apr2003, Vol. 19 Issue 1/2, p79
Academic Journal
Traditionally, diaphragmatic plication (DP) is performed via a thoracotomy that includes incision of the lower intercostal muscles, which are involved in respiratory movement. This may adversely affect ventilation by causing deterioration of respiratory function and making ventilation less efficient. These problems do not occur with thoracoscopic DP (TDP), since the lower intercostal muscles are left intact. We describe a full-term newborn infant with bilateral phrenic-nerve paralysis (PNP) who was treated by TDP and conclude that this method may be effective in the treatment of PNP even in small infants.


Related Articles

  • Idiopathic diaphragmatic weakness.  // BMJ: British Medical Journal (International Edition);2/22/92, Vol. 304 Issue 6825, p492 

    Examines the paralysis of the hemidiaphragm in idiopathic diaphragmatic weakness in Great Britain. Dysfunctions in the phrenic nerve due to malignant infiltration; Symptoms of diaphragm paralysis; Measurement of transdiaphragmatic pressure to assess diaphragm strength.

  • Bilateral phrenic nerve dysfunction: a late complication of mantle radiation. Avila, Edward; Goenka, Anuj; Fontenla, Sandra // Journal of Neuro-Oncology;Jun2011, Vol. 103 Issue 2, p393 

    Neurologic complications from radiotherapy can be immediate or can occur many years after treatment. A known complication of radiotherapy to the supraclavicular and axillary lymph nodes is brachial plexus neuropathy. Although not a common injury, phrenic nerve dysfunction has been reported in...

  • Editorial Comment: Animal model of transdiaphragmatic phrenic pacing through cervical approach. Le Pimpec-Barthes, Françoise // European Journal of Cardio-Thoracic Surgery;Aug2012, Vol. 42 Issue 2, p339 

    The author discusses aspects of phrenic pacing that aims to improve the quality of life of the patients who are dependent on ventilators for their life due to the paralysis of their diaphragm. He informs that this technique improves the patient's independence and allows him more physiological...

  • Phrenic nerve injury after paediatric heart surgery: is aggressive plication of the diaphragm beneficial? Georgiev, Stanimir; Konstantinov, Georgi; Latcheva, Alexandra; Mitev, Plamen; Mitev, Ivajlo; Lazarov, Stojan // European Journal of Cardio-Thoracic Surgery;Nov2013, Vol. 44 Issue 5, p808 

    OBJECTIVES Phrenic nerve injury after paediatric heart surgery is associated with significant morbidity. Surgical plication of the diaphragm is believed to be beneficial to the patient, with difficult weaning from ventilation; however, the optimal timing remains unclear. We aimed to compare the...

  • Phrenic Nerve Conduction Study: Not New but Improved. Rubin, Michael // Neurology Alert;Mar2008, Vol. 26 Issue 7, p51 

    ALL TOO OFTEN, DIAPHRAGMATIC MOTOR RESPONSES unobtainable, poorly reproducible, corrupted by concomitant brachial plexus stimulation, or demonstrate a compound muscle action potential of reversed polarity, with a positive rather than a negative peak. Can these difficulties be overcome or...

  • Diaphragmatic palsy after cardiac surgical procedures in patients with congenital heart. Talwar, Sachin; Agarwala, Sandeep; Mittal, Chander Mohan; Choudhary, Shiv Kumar; Airan, Balram // Annals of Pediatric Cardiology;Jan-Jun2010, Vol. 3 Issue 1, p50 

    Paralysis of diaphragm on one or, exceptionally, both sides is a common cause of delayed recovery and excessive morbidity following pediatric cardiac surgery. The consequences of this complication after all forms of congenital heart surgery in newborns and young infants can be potentially...

  • Patient with Diaphragm Paralysis Saved by Phrenic Nerve Decompression.  // AARC Times;Sep2010, Vol. 34 Issue 9, p89 

    The article reports on the recent medical procedure that gives hope to patients suffering diaphragm paralysis by performing a life changing phrenic nerve decompression.

  • Postoperative phrenic nerve palsy: early clinical implications and management. Lemmer, Julia; Stiller, Brigitte; Heise, Grit; Hübler, Michael; Alexi-Meskishvili, Vladimir; Yuguo Weng; Redlin, Matthias; Amann, Valerie; Ovroutski, Stanislav; Berger, Felix; Hübler, Michael; Weng, Yuguo // Intensive Care Medicine;Aug2006, Vol. 32 Issue 8, p1227 

    Objective: We examined the clinical impact of diaphragmatic palsy (DP) as a result of phrenic nerve injury following cardiothoracic surgery, specifically its effects on morbidity and mortality, early regeneration capacity of the phrenic nerve, and role of surgical diaphragmatic...

  • Shifting Umbilicus in Neonatal Phrenic Palsy (The Belly Dancer's Sign). Nichols, Myron M. // Clinical Pediatrics;Apr1976, Vol. 15 Issue 4, p342 

    Explains that the existence of diaphragmatic paralysis in newborn infants can he recognized by observing the movement of the umbilicus during the respiratory cycle. Cause of respiratory distress; Unexplained tachypnea without dyspnea in mild cases; Slightly decreased breath sounds on the...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics