Acute diaphragmatic paralysis caused by chest-tube trauma to phrenic nerve

E. Nahum*, Joseph Ben-Ari, Tommy Schonfeld, Gadi Horev

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

A 31/2-year-old child developed unilateral diaphragmatic paralysis after chest drain insertion. Plain chest X-ray demonstrated paravertebral positioning of the chest-tube tip, and magnetic resonance imaging revealed hematomas in the region of the chest-tube tip and the phrenic nerve fibers. The trauma to the phrenic nerve was apparently secondary to malposition of the chest tube. This is a rare complication and has been reported mainly in neonates. Radiologists should notify the treating physicians that the correct position of a chest drain tip is at least 2 cm distant from the vertebrae.

Original languageEnglish
Pages (from-to)444-446
Number of pages3
JournalPediatric Radiology
Volume31
Issue number6
DOIs
StatePublished - 2001
Externally publishedYes

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