Idiopathic Diaphragmatic Paralysis: Bell’s Palsy of the Diaphragm?

Crausman, Robert S.; Summerhill, Eleanor M.; McCool, F. Dennis

doi:10.1007/s00408-009-9140-z

Cited by 18 publications

(20 citation statements)

References 26 publications

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“…Crausman et al reported three cases of subacute unilateral diaphragmatic paralysis with a history of subacute or acute onset of neck or shoulder pain (37). All three cases were empirically treated with antiviral therapy, which resulted in alleviation.…”

Section: Discussionmentioning

confidence: 99%

A Case of Diaphragmatic Paralysis Complicated by Herpes-zoster Virus Infection

et al. 2012

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Diaphragmatic paralysis is commonly caused by surgical and traumatic injuries, malignant neoplasm, and neurodegenerative disorders. However, in rare instances, diaphragmatic paralysis due to herpes-zoster virus infection has been reported. Here, we describe an 85-year-old woman who developed left hemidiaphragmatic paralysis within 19 days of the appearance of a typical herpes-zoster rash involving the C4-5 dermatome on the left side. Clinical and radiological findings revealed no local causes of phrenic nerve lesion. The hemidiaphragmatic paralysis was thought to be caused by herpes-zoster virus infection.

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Section: Discussionmentioning

confidence: 99%

A Case of Diaphragmatic Paralysis Complicated by Herpes-zoster Virus Infection

et al. 2012

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“…In a significant number of cases, no cause is found. Diaphragmatic paralysis may be an early sign of systemic diseases, like systemic lupus erythematosus, metabolic diseases, motor neuron disease or thoracic malignancy [9]. Bilateral diaphragmatic paralysis is more common in systemic diseases such as myopathies or metabolic diseases.…”

Section: Discussionmentioning

confidence: 99%

A rare cause of respiratory insufficiency: case presentation

et al. 2014

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AbstractWe report the case of a 73 year old woman who presented for progressive dyspnea. Her medical history included thyroidectomy 15 years ago, myocardial infarction, recurrent paroxysmal atrial fibrillation and femoral fracture two weeks previously, conservatively treated. Physical examination revealed absent breath sounds in the left hemithorax, up to the apex, and crackles in the right hemithorax. The acid-base balance showed acute hypoxemic respiratory failure. The chest X-Ray revealed left diaphragmatic paralysis. Thoracic CT-scan was performed, which excluded the pulmonary embolism and revealed left diaphragmatic relaxation, ascension of the splenic angle of the colon, stomach and spleen up to the projection of left lung hilum, and right postero-basal alveolar condensation process. Diaphragm dysfunction can be caused by various disorders, including phrenic paralysis. This pathology should be considered in the differential diagnosis of acute respiratory failure.

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“…These authors consider isolated diaphragmatic paralysis as a "Bells palsy" of the phrenic nerve (Crausman et al, 2009). …”

Section: Acute Diaphragmatic Paralysismentioning

confidence: 99%