Bilateral diaphragmatic paralysis after kidney surgery

https://doi.org/10.4081/monaldi.2012.158

Authors

  • S. Sozzo Institute of Pulmonary Disease, University of Bari, Italy.
  • P. Carratù | pierluigicarratu@yahoo.com Institute of Pulmonary Disease, University of Bari, Italy.
  • M.F. Damiani Institute of Pulmonary Disease, University of Bari, Italy.
  • V.A. Falcone Institute of Pulmonary Disease, University of Bari, Italy.
  • A. Palumbo Institute of Pulmonary Disease, University of Bari, Italy.
  • S. Dragonieri Institute of Pulmonary Disease, University of Bari, Italy.
  • O. Resta Institute of Pulmonary Disease, University of Bari, Italy.

Abstract

A 57-year-old woman underwent an enucleoresection of her right kidney angiomyolipoma. Two weeks later she was admitted to our hospital because of dyspnea at rest with orthopnea. The chest x-ray showed the elevation of both hemidiaphragms and the measurement of the sniff transdiaphragmatic pressure confirmed the diagnosis of bilateral diaphragmatic paralysis. A diaphragm paralysis can be ascribed to several causes, i.e. trauma, compressive events, inflammations, neuropathies, or it can be idiopathic. In this case, it was very likely that the patient suffered from post-surgery neuralgic amyotrophy. To our knowledge, there are only a few reported cases of neuralgic amyotrophy, also known as Parsonage- Turner Syndrome, which affects only the phrenic nerve as a consequence of a surgery in an anatomically distant site.

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Published
2015-12-03
Info
Issue
Section
Case Reports
Keywords:
Diaphragmatic paralysis, Kidney surgery
Statistics
  • Abstract views: 661

  • PDF: 403
How to Cite
Sozzo, S., P. Carratù, M.F. Damiani, V.A. Falcone, A. Palumbo, S. Dragonieri, and O. Resta. 2015. “Bilateral Diaphragmatic Paralysis After Kidney Surgery”. Monaldi Archives for Chest Disease 77 (2). https://doi.org/10.4081/monaldi.2012.158.

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