{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T04:36:42Z","timestamp":1791520602922,"version":"4.3.4"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,10,13]]},"abstract":"<jats:p>Brachial plexus birth injury (BPBI) and phrenic nerve injury can sometimes occur concurrently in neonates following difficult deliveries like breech presentation, shoulder dystocia, forceps or vacuum extraction. Phrenic nerve palsy should be suspected in a newborn with respiratory distress and an elevated hemidiaphragm on the imaging studies in presence of the associated risk factors. The right side is affected more often than the left side and most of it is associated with BPBI. We present here a rare case of a newborn baby with a left-sided Erb\u2019s palsy and a contralateral\/right-sided diaphragmatic paralysis who recovered from the persistent respiratory distress and feeding difficulties following plication of the diaphragm. The left-sided Erb\u2019s palsy also fully recovered at follow-up examination.<\/jats:p>","DOI":"10.1136\/bcr-2018-225373","type":"journal-article","created":{"date-parts":[[2018,11,9]],"date-time":"2018-11-09T07:25:39Z","timestamp":1541748339000},"page":"bcr-2018-225373","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Rare case of a newborn baby with left-sided Erb\u2019s palsy and a contralateral\/right-sided paralysis of the diaphragm"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7699-9864","authenticated-orcid":false,"given":"Satyaranjan","family":"Pegu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bakul","family":"Deb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zarin","family":"Kalapesi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,11,8]]},"reference":[{"key":"2025042706420856000_2018.nov08_1.bcr-2018-225373.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2009.11.005"},{"key":"2025042706420856000_2018.nov08_1.bcr-2018-225373.2","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1093\/pch\/11.2.93","article-title":"Perinatal brachial plexus palsy","volume":"11","author":"Andersen","year":"2006","journal-title":"Paediatr Child Health"},{"key":"2025042706420856000_2018.nov08_1.bcr-2018-225373.3","doi-asserted-by":"crossref","first-page":"46","DOI":"10.3390\/children5040046","article-title":"Risk factors for brachial plexus birth injury","volume":"5","author":"Louden","year":"2018","journal-title":"Children"},{"key":"2025042706420856000_2018.nov08_1.bcr-2018-225373.4","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1515\/JPM.2009.040","article-title":"Neonatal phrenic nerve injury due to traumatic delivery","volume":"37","author":"Stramrood","year":"2009","journal-title":"J Perinat Med"},{"key":"2025042706420856000_2018.nov08_1.bcr-2018-225373.5","doi-asserted-by":"crossref","first-page":"225","DOI":"10.4103\/1817-1745.106487","article-title":"Phrenic nerve palsy: a rare cause of respiratory distress in newborn","volume":"7","author":"Murty","year":"2012","journal-title":"J Pediatr Neurosci"},{"key":"2025042706420856000_2018.nov08_1.bcr-2018-225373.6","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1016\/S0266-7681(98)80179-4","article-title":"The prognostic value of concurrent phrenic nerve palsy in newborn children with Erb\u2019s palsy","volume":"23","author":"Al-Qattan","year":"1998","journal-title":"J Hand Surg Br"},{"key":"2025042706420856000_2018.nov08_1.bcr-2018-225373.7","first-page":"116","article-title":"Early surgical intervention for diaphragmatic paralysis in a neonate; report of a case and literature review","volume":"21","author":"Ahmadpour-Kacho","year":"2011","journal-title":"Iran J Pediatr"},{"key":"2025042706420856000_2018.nov08_1.bcr-2018-225373.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(98)90325-6"},{"key":"2025042706420856000_2018.nov08_1.bcr-2018-225373.9","first-page":"28","article-title":"A rare case of diaphragmatic paralysis due to isolated phrenic nerve palsy in neonate","volume":"2","author":"Nakwan","year":"2008","journal-title":"South African Journal of Child Health"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-225373","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T13:42:13Z","timestamp":1745761333000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-225373"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11,8]]},"references-count":9,"alternative-id":["10.1136\/bcr-2018-225373"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-225373","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11,8]]}}}