In 1921, Kofferath1 reported a case of diaphragmatic paralysis resulting from injury to the phrenic nerve in association with an injury to the brachial plexus. The paralysis of the diaphragm was discovered shortly after birth, and that of the arm twenty-four hours later. Kofferath was unable to find a single reference to this complication detected immediately after delivery. Ehrenfest,2 in commenting on this unusual complication, observes that Weigert had collected records of thirty cases including one of his own, and that Kofferath's was the only one in which the diagnosis had been verified by fluoroscopic evidence. Reference to Weigert's3 original article, bearing the caption "Relaxatio diaphragmatica," makes it manifest that he includes related pathologic conditions. His own case bears the earmarks of diaphragmatic paralysis due to phrenic nerve injury; however, whether sustained at birth or not is not quite apparent. From his discussion we are permitted to
FRIEDMAN E, CHAMBERLAIN RS. PHRENIC NERVE INJURY IN THE NEW-BORN: REPORT OF CASE. JAMA. 1926;86(13):934–937. doi:10.1001/jama.1926.02670390014006
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: