Bilateral Isolated Phrenic Neuropathy: a Rare Cause of Dyspnoea

Couto, Carlos and Pereira, Pedro and Moreira, Ana Catarina and Ribeiro, Vicência and Duarte, José (2020) Bilateral Isolated Phrenic Neuropathy: a Rare Cause of Dyspnoea. European Journal of Case Reports in Internal Medicine, 7 (2). ISSN 2284-2594

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Bilateral diaphragm paralysis due to bilateral isolated phrenic neuropathy (BIPN) is a very rare cause of unexplained respiratory failure. We present a 65-year-old patient with no relevant previous medical history who presented in the Pulmonology Clinic with mMRC1 dyspnoea and orthopnoea. After the medical work-up, diaphragmatic paresis was diagnosed. Inspiratory muscle training resulted in mild symptomatic improvement and treatment with noninvasive mechanical ventilation (NIV) was initiated. This condition is generally chronic and has a poorer prognosis, compared to other cases of phrenic nerve involvement. In this case, NIV restored near-normal daily function.

Item Type: Article
Uncontrolled Keywords: Diaphragmatic paralysis, dyspnoea, hypoventilation, noninvasive ventilation, phrenic neuropathy
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Chiara D'Arpa
Date Deposited: 19 Nov 2020 10:01
Last Modified: 19 Nov 2020 10:01

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