Unilateral Diaphragmatic Paralysis in a Diabetic Patient: A Case of Trepopnea

Aslam, Fawad; Kolpakchi, Anna; Musher, Daniel M.; Lu, Lee

doi:10.1007/s11606-010-1587-3

Cited by 13 publications

(5 citation statements)

References 22 publications

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“…Mennella and Zangrillo (2011) categorized risk factors into patient-related factors, procedure-related factors and postoperative care-related factors [10]. Patient-related risk factors include old age especially those above 70 years [11,12], morbid obesity [13,14], smoking [12,15,16], diabetes [17], and symptomatic lung diseases [10,18,19]. Procedure-related risk factors include anesthesia [10,20,21], type of cardiac surgery [4], surgical incision [22], use of topical cooling [10,21], and cardiopulmonary bypass machine [21–24].…”

Section: Introductionmentioning

confidence: 99%

Spirometric values and chest pain intensity three days post-operative coronary artery bypass graft surgery

AlOtaibi

El-Sobkey

2015

Journal of the Saudi Heart Association

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Section: Introductionmentioning

confidence: 99%

Spirometric values and chest pain intensity three days post-operative coronary artery bypass graft surgery

AlOtaibi

El-Sobkey

2015

Journal of the Saudi Heart Association

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“…Unilateral involvement of the phrenic nerve appears to be more prevalent than bilateral involvement, but both can lead to severe respiratory failure. 4,5 Our case highlights the significance of considering diabetic neuropathies beyond the commonly observed sensorimotor and autonomic neuropathies. The diagnosis of unilateral diabetic phrenic nerve neuropathy presents notable challenges due to its rarity and the need to rule out alternative causes.…”

Section: Introductionmentioning

confidence: 82%

Unilateral Phrenic Nerve Palsy as a Presentation of Diabetes Mellitus: A Rare Case Report

Chitrala,

Butta,

Immadisetty

et al. 2023

Clin Med Insights Endocrinol Diabetes

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Diabetes mellitus is one of the most debilitating diseases, diabetic neuropathy happens to be the most common and perhaps the most serious complication of diabetes mellitus, often leading to morbidity and mortality. A 60 year old female presented with disorientation, history of vomiting, shortness of breath, respiratory failure initially. Blood reports revealed that she was positive for ketone bodies with elevated HbA1c and general random blood sugar. Chest radiogram revealed atelectasis of the right lung with prominent involvement of right middle and lower lobes. High-resolution computed tomography of chest confirmed the findings and unilateral diaphragmatic paralysis due to phrenic nerve neuropathy due to undetected type 2 diabetes was diagnosed. Although phrenic nerve paralysis is a rare occurrence with diabetes, the possibility shouldn’t be overlooked as a presentation of diabetes mellitus.

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“…The patient didn't have a habit of going to community hospital for physical examination regularly, so the speci c time of the lesion cannot be known. In adult patients, diaphragmatic distention is associated with phrenic nerve dysfunction, infection myopathy or some others including diabetes and benign thyroid hypertrophy, et al (2)(3)(4)(5). In this case, the male patient might have been with coronavirus infection a year before, which damaged diaphragm function.…”

Section: Discussionmentioning

confidence: 99%

Eventration of diaphragm: A case report

Zhang

Shi

zhang

2023

Preprint

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Background Eventration of diaphragm is uncommon in adults and is caused by paralysis, aplasia or atrophy of the diaphragm's muscular fibers, which causes the abnormal elevation of the diaphragm and abdominal organs to protrude into the chest. Eventration of diaphragm is usually diagnosed by the elevation of left hemi-diaphragm in the plain X-ray or chest CT. Though the incidence of diaphragm eventration is low and relatively rare, it can result in serious ventilation dysfunction and digestive system symptoms. Case summary: This paper describes a 57-year-old male patient with eventration of diaphragm who presented as pulmonary heart disease (PHD). He had severe symptoms presenting with the lower-extremity pitting edema a year before, then he alleviated his discomfort by taking diuretics self-administered and did not get regular therapy. However, the patient's clinical symptomscontinued to worsen and developed chest tightness, shortness of breath and lower-extremity edema again without effective and systematic treatment. Clinical manifestations, laboratory tests and imaging exams of the patients were evaluated by general practitioners, then they made the diagnosis of PHD and eventration of diaphragm. Finally, with the assistance of a professor of thoracic surgery, diaphragmatic plication was implemented which improved the symptoms of functional status and shortness of breath. Conclusion: This case report and literature review investigated the clinical symptoms of eventration of diaphragm presenting with heart failure, which aims to help provide ideas for the clinical treatment of eventration of diaphragm.

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Unilateral Diaphragmatic Paralysis in a Diabetic Patient: A Case of Trepopnea

Cited by 13 publications

References 22 publications

Spirometric values and chest pain intensity three days post-operative coronary artery bypass graft surgery

Spirometric values and chest pain intensity three days post-operative coronary artery bypass graft surgery

Unilateral Phrenic Nerve Palsy as a Presentation of Diabetes Mellitus: A Rare Case Report

Eventration of diaphragm: A case report

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