• Lian Wang, Tianshu Liu, and Zhihai Liu.
• Department of Thoracic Surgery, the Second Affiliated Hospital, Zhejiang University School of Medicine.
• Medicine (Baltimore). 2021 Jan 29; 100 (4): e24043e24043.

RationaleRespiratory dysfunction resulting from unilateral diaphragmatic paralysis during neck trauma is very rare in adults. We describe the symptoms, diagnosis and treatment of 1 patient with chronic respiratory insufficiency, in whom the diaphragmatic paralysis was associated with phrenic nerve injury due to penetrating neck trauma.Patient ConcernsA 50-year-old worker was admitted because of left penetrating neck trauma. Imaging investigations demonstrated elevation of the left hemidiaphragm and the C5 and C6 roots avulsion. He complained of gradually worsening dyspnea on exertion 2 months later.DiagnosesThe patient was diagnosed with chronic respiratory dysfunction secondary to diaphragmatic paralysis, which caused by phrenic nerve injury.InterventionsA conventional video-assisted thoracoscopic diaphragm plication was performed after failed conservative management.OutcomesThe respiratory status improved markedly, and he did well without recurrence until 2 years' follow-up.LessonsThe possibilities of phrenic nerve palsy and diaphragmatic paralysis should not be overlooked during the evaluation of neck trauma.Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

25 keywords...

hide…