Citation

Bell D, Siriwardena A. J. Accid. Emerg. Med. 2000; 17(6): 419-420.

Affiliation

University Department of Surgery, Royal Infirmary of Edinburgh.

Copyright

(Copyright © 2000, BMJ Publishing Group)

DOI

unavailable

PMID

11104246

PMCID

PMC1725484

Abstract

Phrenic nerve trauma in the absence of direct injury is unusual and may present diagnostic difficulty. Diaphragmatic paralysis resulting from phrenic nerve injury may closely mimic diaphragmatic rupture. This case highlights the value of magnetic resonance imaging in establishing diaphragmatic integrity and of ultrasonographic assessment during respiratory excursion in confirming diaphragmatic paralysis. In cases of non-contact injury involving torsional injury to the neck, an index of clinical awareness may help to establish the diagnosis of phrenic nerve trauma.

Language: en