Unilateral Diaphragmatic Paralysis in a Patient With COVID-19 Pneumonia

Shahid, Mubasshar; Nasir, Shahbaz Ali; Shahid, Osama; Nasir, Shumaila A.; Khan, Muhammad Waleed

doi:10.7759/cureus.19322

Cited by 8 publications

(8 citation statements)

References 18 publications

(29 reference statements)

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“…The most common cause of diaphragmatic paralysis is phrenic neuropathy, which can be caused by attempting to extend the neck after cardiothoracic surgery, cervical nerve root injury, neuralgic amyotrophy, or infectious agents such as herpes zoster or influenza. 10 …”

Section: Discussionmentioning

confidence: 99%

Point-of-Care Ultrasound to Assess Diaphragmatic Paralysis in Resource-Limited Setting: A Case Series

Hussen,

Sultan,

Kidane

et al. 2024

IMCRJ

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Diaphragmatic dysfunction can arise from various factors, and Guillain–Barre syndrome, characterized by acute inflammatory polyradiculoneuropathy, is one such cause that may result in respiratory failure due to diaphragmatic paralysis. Prompt recognition and timely intervention, including airway protection and addressing the underlying pathology, are crucial for achieving optimal patient outcomes. Point-of-care ultrasound, specifically utilizing the M-mode function, can be employed for individuals displaying symptoms of diaphragmatic paralysis. This diagnostic approach is uncomplicated an effective tool for serial follow-up. In this context, we present a case series involving three patients with diaphragmatic paralysis in a limited-resource setting.

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Section: Discussionmentioning

confidence: 99%

Point-of-Care Ultrasound to Assess Diaphragmatic Paralysis in Resource-Limited Setting: A Case Series

Hussen,

Sultan,

Kidane

et al. 2024

IMCRJ

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“…Since the opposite diaphragm dome can compensate for this defect effectively with the aid of the external intercostal muscles, involvement of only one-half of the diaphragm does not result in significant impairment in respiratory function [ 1 ]. The most common cause of diaphragmatic paralysis is phrenic neuropathy, which can be caused by attempting to extend the neck after cardiothoracic surgery, cervical nerve root injury, neuralgic amyotrophy, or infectious agents such as herpes zoster or influenza [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

A Bilateral Diaphragmatic Paralysis Post-COVID-19 Infection: A Case Report and a Review of the Literature

Alrosan¹,

Lem²,

Abu-Jeyyab³

2023

Cureus

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The diaphragm is the essential respiratory muscle, and damage can significantly impede a human's capacity for blood oxygenation. During inspiration, the diaphragm domes permit the pleural cavity to expand. Whenever this process is disrupted, it results in decreased thoracic expansion and, as a result, hypoventilation. The phrenic nerve innervates the diaphragmatic muscle via the cervical nerve roots C3, C4, and C5. Diaphragmatic paralysis is a multifactorial consequence caused by trauma, neurogenic diseases, infections, inflammatory responses, and chest operative surgery, with the last being the most prevalent causative factor.Here, we are describing the case of a 52-year-old male patient who has had ongoing dyspnea for months after contracting COVID-19 in December 2021, despite the remission of his previous COVID-19 pneumonia in 2020. An X-ray of the chest revealed no diaphragm elevation, whereas electromyography verified diaphragm impairment. On the conservative treatment plan, he reported persistent dyspnea following a period of pulmonary rehabilitation. To a lesser extent, it is advised to wait at least one year to see if there is any reinnervation, which could benefit his lung capacity.COVID-19 has been linked to many systematic diseases. As a result, COVID-19 will not be restricted to its inflammatory effect on the lungs. In other words, it is a multi-organ systematic syndrome. One of these effects is diaphragm paralysis, which should be considered a post-COVID-19 disease. However, there is a need for more literature to support physicians as guidelines for neurological conditions related to COVID-19 infection.

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“…Unilateral presentations are more common on the left side, and right-sided eventration is an even rare phenomenon. [ 2 , 3 , 7 ]…”

Section: Discussionmentioning

confidence: 99%

Right hemi diaphragmatic eventration – A rare post SARS-COV-2 infection complication

Baby,

Mittal

2023

Lung India

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Unilateral Diaphragmatic Paralysis in a Patient With COVID-19 Pneumonia

Cited by 8 publications

References 18 publications

Point-of-Care Ultrasound to Assess Diaphragmatic Paralysis in Resource-Limited Setting: A Case Series

Point-of-Care Ultrasound to Assess Diaphragmatic Paralysis in Resource-Limited Setting: A Case Series

A Bilateral Diaphragmatic Paralysis Post-COVID-19 Infection: A Case Report and a Review of the Literature

Right hemi diaphragmatic eventration – A rare post SARS-COV-2 infection complication

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