Diaphragmatic paralysis history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahda Alihashemi M.D. [2]

Overview

The majority of patients with unilateral diaphragmatic paralysis are asymptomatic. Exertional dyspnea and decreased exercise performance are common symtoms of unilateral diaphragmati paralysis. Less common symtoms of unilateral diaphragmatic paralysis include dyspnea at rest and orthopnea. Dyspnea in supine position and orthopnea are common symtoms of bilateral diphragmatic paralysis. Less common symtoms of bilateral diaphragmatic paralysis include daytime fatigue and confusion.

History and Symptoms

History

Unilateral diaphragmatic paralysis

Patients with unilateral diaphragmatic paralysis may have a positive history of:[1]

Bilateral diphragmatic paralysis

Patients with bilateral diaphragmatic paralysis may have a positive history of :

Common Symptoms

Unilateral diaphragmatic paralysis:[2]

Common symtoms of unilateral diaphragmatic paralysis include:

Bilateral diaphragmatic paralysis

Less Common Symptoms

Unilateral diaphragmatic paralysis

Less common symptoms of unilateral diaphragmatic paralysis include:

Bilateral diaphragmatic paralysis

Less common symptoms of bilateral diaphragmatic paralysis include:[6]

References

  1. Piehler JM, Pairolero PC, Gracey DR, Bernatz PE (1982). "Unexplained diaphragmatic paralysis: a harbinger of malignant disease?". J. Thorac. Cardiovasc. Surg. 84 (6): 861–4. PMID 6292583.
  2. Hart N, Nickol AH, Cramer D, Ward SP, Lofaso F, Pride NB, Moxham J, Polkey MI (2002). "Effect of severe isolated unilateral and bilateral diaphragm weakness on exercise performance". Am. J. Respir. Crit. Care Med. 165 (9): 1265–70. doi:10.1164/rccm.2110016. PMID 11991876.
  3. 3.0 3.1 Sandham JD, Shaw DT, Guenter CA (1977). "Acute supine respiratory failure due to bilateral diaphragmatic paralysis". Chest. 72 (1): 96–8. PMID 872664.
  4. Kumar N, Folger WN, Bolton CF (2004). "Dyspnea as the predominant manifestation of bilateral phrenic neuropathy". Mayo Clin. Proc. 79 (12): 1563–5. doi:10.4065/79.12.1563. PMID 15595343.
  5. Laroche CM, Carroll N, Moxham J, Green M (1988). "Clinical significance of severe isolated diaphragm weakness". Am. Rev. Respir. Dis. 138 (4): 862–6. doi:10.1164/ajrccm/138.4.862. PMID 3202460.
  6. Qureshi A (2009). "Diaphragm paralysis". Semin Respir Crit Care Med. 30 (3): 315–20. doi:10.1055/s-0029-1222445. PMID 19452391.

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