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Transient hemi-diaphragmatic paralysis following neck surgery: report of a case and review of the literature.

Authors
Type
Published Article
Journal
Journal of the Royal College of Surgeons of Edinburgh
Publication Date
Volume
46
Issue
3
Pages
186–188
Identifiers
PMID: 11478021
Source
Medline

Abstract

Diaphragmatic paresis following trauma to the phrenic nerves is a rare complication after neck surgery. The resulting elevation of the ipsilateral hemi-diaphragm is diagnosed on post-operative chest radiography and may be confirmed by ultrasound or fluoroscopy. When unilateral, this may lead to respiratory, cardiac or gastrointestinal symptoms and atelectasis and pulmonary infiltrates on radiography. If nerve damage is bilateral a period of ventilation may be required.

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