Unilateral Diaphragmatic Paralysis in a Diabetic Patient: A Case of Trepopnea
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TLDR
A unique case of a 55-year-old diabetic man who presented with trepopnea and was found to have unilateral diaphragmatic paralysis secondary to isolated diabetic phrenic neuropathy is reported.Abstract:
Dyspnea is a common presenting complaint. Trepopnea, an under-recognized form of dyspnea, is difficult breathing in only one lateral decubitus position. One cause of trepopnea is unilateral diaphragmatic paralysis, which in itself is an uncommon diagnosis. We report a unique case of a 55-year-old diabetic man who presented with trepopnea and was found to have unilateral diaphragmatic paralysis secondary to isolated diabetic phrenic neuropathy. This case highlights the importance of recognizing trepopnea as an early clinical symptom of diaphragmatic paralysis and discusses diabetic phrenic neuropathy which can occur in the absence of peripheral neuropathy.read more
Citations
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Book ChapterDOI
Focal and entrapment neuropathies.
TL;DR: Of the many patterns of peripheral nerve disorders in diabetes mellitus (DM), isolated clinical involvement of single nerves, though less common than distal symmetric polyneuropathy and perhaps polyradiculoneuropathy, constitute an important collection of characteristic syndromes.
Journal ArticleDOI
Spirometric values and chest pain intensity three days post-operative coronary artery bypass graft surgery.
TL;DR: The examined hypothesis that reduction of post-operative chest pain intensity would be associated with improvement in the spirometric values for patient underwent coronary artery bypass graft surgery was rejected.
Journal ArticleDOI
Coexisting central and obstructive sleep apnea and mild diurnal hypoventilation associated with unilateral diaphragmatic dysfunction and brainstem lesion.
TL;DR: Continuous positive airway pressure (CPAP) therapy was ineffective, while a one-month bi-level positive airways pressure (BIPAP) trial provided better outcomes.
References
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Journal ArticleDOI
Diaphragm electromyography using an oesophageal catheter: current concepts.
TL;DR: The progress of oesophageal electrode design is outlined, the effects of signal contamination, electrode movement and particularly the effect of change in lung volume on the diaphragm EMG are discussed.
Journal ArticleDOI
Diaphragm plication in adult patients with diaphragm paralysis leads to long-term improvement of pulmonary function and level of dyspnea
Michel I.M. Versteegh,Jerry Braun,Pieter Voigt,Daniël B. Bosman,Jan Stolk,Klaus F. Rabe,Robert A.E. Dion +6 more
TL;DR: Diaphragm plication for single- or double-sided diaphragms paralysis provides excellent long-term results and most patients were severely disabled before surgery but could return to a more or less normal way of life afterwards.
Journal ArticleDOI
Long term results of diaphragmatic plication for unilateral diaphragm paralysis.
TL;DR: Diaphragm plication is an effective procedure with lasting results for non-malignant diaphragmatic paralysis and Positional change in lung volumes was not affected by surgery at early (6 week) or late (>5 year) follow-up.
Journal ArticleDOI
Mononeuropathy in Diabetes Mellitus
TL;DR: It is concluded that diabetic mononeuropathy may occur independently of peripheral and autonomic neuropathy, and it is possible that a minimal degree of background damage, known to be present in all diabetic patients, may render them more susceptible than the general population to the various factors causing mon oneuropathy.
Journal ArticleDOI
Long-term follow-up of the functional and physiologic results of diaphragm plication in adults with unilateral diaphragm paralysis.
TL;DR: Plication of the hemidiaphragm produces improvement for the vast majority of patients in pulmonary spirometry, dyspnea, and functional status that endures over long-term follow-up, and patients who are morbidly obese or who have longstanding unilateral diaphragms paralysis may not realize the same benefits of plication.