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Unilateral phrenic nerve paralysis from cutting down a Christmas tree
R H Tiede1, J R Hover, S F Davies
1Department of Medicine, Hennepin County Medical Center, Minneapolis, MN 55415.
Southern Medical Journal
|November 1, 1994
Summary
Stretch injury to the phrenic nerve can cause unilateral diaphragmatic paralysis. This rare case highlights a potential risk during activities like cutting trees.
Area of Science:
- Neurology
- Pulmonology
- Trauma Surgery
Background:
- Phrenic nerve injury leading to diaphragmatic paralysis is uncommon.
- Unilateral diaphragmatic paralysis can result from various etiologies, including trauma.
Observation:
- A patient sustained a stretch injury to the phrenic nerve.
- The injury occurred during the activity of cutting down a Christmas tree while lying on the ground.
Findings:
- The phrenic nerve stretch injury resulted in unilateral diaphragmatic paralysis.
- This case illustrates an unusual mechanism for diaphragmatic paralysis.
Implications:
- Highlights the importance of considering iatrogenic or accidental nerve injury in cases of diaphragmatic dysfunction.
- Suggests awareness of potential phrenic nerve stretch injuries during certain physical activities.
- Underscores the need for thorough patient history and examination in diagnosing diaphragmatic paralysis.