Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000009.xml
Am J Perinatol 2001; 18(8): 459-464
DOI: 10.1055/s-2001-18793
DOI: 10.1055/s-2001-18793
ORIGINAL ARTICLES
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662
Unilateral Diaphragmatic Palsy in Association with a Subclavian Vein Thrombus in a Very-Low- Birth-Weight Infant
Further Information
Publication History
Publication Date:
04 December 2001 (online)

ABSTRACT
Phrenic nerve paralysis due to iatrogenic injury is not uncommon in neonates. We report an unusual case of acquired unilateral paralysis of the diaphragm in a very-low-birth-weight infant, associated with a thrombus secondary to percutaneous subclavian vein catheterization. Conservative management resulted in complete resolution of the paralyzed diaphragm.
KEYWORD
Diaphragm paralysis - very low birth weight infant - percutaneous line catheter - subclavian vein thrombosis
REFERENCES
- 1 Islek I, Akpolat T, Danaci M. Phrenic nerve palsy caused by subclavian vein catheterization. Nephrol Dial Transplant . 1998; 13 1023-1025
- 2 Pleasure J, Shashikumar V L. Phrenic nerve damage in the tiny infant during vein cannulation for parenteral nutrition. Am J Perinatol . 1990; 7 136-138
- 3 Lam D S, Ramos A D, Platzker A CG, Warburton D, Keens T G. Paralysis of diaphragm complicating central venous alimentation. Am J Dis Child . 1981; 135 382
- 4 Affatato A, Villagra F, De Leon P J, Gomez R, Checa S L, Vellibre D. Phrenic nerve paralysis following pediatric cardiac surgery: role of diaphragmatic plication. J Cardiovasc Surg . 1988; 29 606-609
- 5 Odita J C, Khan A S, Dincsoy M, Masoud A, Ammari A. Neonatal phrenic paralysis resulting from intercostal drainage of pneumothorax. Pediatr Radiol . 1992; 22 379-381
- 6 Massicotte M P, Dix D, Mongale P, Adams M, Andrew M. Central venous catheter related thrombosis in children: analysis of the Canadian registry of venous thromboembolic complications. J Pediatr . 1998; 133 770-776
- 7 Langer J C, Filler R M, Coles J, Edmonds J F. Plication of the diaphragm for infants and young children with peripheral nerve paralysis. J Pediatr Surg . 1988; 23 749-751
- 8 Schwartz M Z, Filler R M. Plication of the diaphragm for symptomatic peripheral nerve paralysis. J Pediatr Surg . 1978; 13 259-263
- 9 Haller Jr A J, Pickard L R, Tepas J J, Rogers M C, Robotham J L, Shorter N. Management of diaphragmatic paralysis in infants with special emphasis on selection of patients for operative plication. J Pediatr Surg . 1979; 14 779-785
- 10 Shoemaker R, Palmer G, Brown J W, King H. Aggressive treatment of acquired paralysis in infants and small children. Ann Thorac Surg . 1981; 32 250-259