Karaoğlu Pakize, Yiş Uluç, Öztura Ibrahim, Akdoğan Özlem, Bayram Erhan, Topçu Yasemin, Hiz Semra
Department of Pediatric Neurology, Dokuz Eylul University Medical School, Izmir, Turkey.
Pediatr Emerg Care. 2013 Aug;29(8):922-3. doi: 10.1097/PEC.0b013e31829ec20b.
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.
尽管在成人多发伤期间发生臂丛神经损伤很常见，但在儿童中却很少见。小儿创伤性臂丛神经麻痹最常见的原因是机动车事故，其次是行人被撞。一般来说，臂丛神经损伤伴发膈神经麻痹在10%至20%的病例中可见，但由于单侧损伤通常无症状而被忽视。严重的单侧膈神经麻痹伴臂丛神经撕脱非常罕见。在此，我们报告一例因多发伤导致单侧膈神经麻痹伴呼吸窘迫及臂丛神经撕脱的儿科病例。
