Bilateral diaphragmatic paralysis after kidney surgery

Submitted: December 3, 2015
Accepted: December 3, 2015
Published: December 3, 2015
Abstract Views: 941
PDF: 575
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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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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.