Diaphragmatic paralysis: clinical features
Evidence-based neurology checklist on diaphragmatic paralysis: clinical features: Respiratory features Diaphragmatic dyspnoea: this is shortness of breath when immersed in water above the waist level Decreased exercise tolerance Excessive use of the accessory muscles of respiration Paradoxical…
Respiratory features
- Diaphragmatic dyspnoea: this is shortness of breath when immersed in water above the waist level
- Decreased exercise tolerance
- Excessive use of the accessory muscles of respiration
- Paradoxical abdominal wall movements: the abdomen moves inwards on inspiration
- Atelectasis
- Respiratory failure
Sleep-related features
Systemic features
References
- McCool FD, Tzelepis GE. Dysfunction of the diaphragm. N Engl J Med 2012; 366:932-942.
- Burton EA, Winer JB, Barber PC. Giant cell arteritis of the cervical radicular vessels presenting with diaphragmatic weakness. JNNP 1999; 67:223-226.
- Ahmed R, McNamara S, Gandevia S, Halmagyi GM. Paradoxical abdominal wall movement in bilateral diaphragmatic paralysis. Pract Neurol 2012; 12:184-186.
- Vazquez Do Campo R, Shelly S, Boon AJ, Mandrekar J, Vassallo R, Klein CJ. Phrenic neuropathy water immersion dyspnea: Clinical findings and need for patient counseling. Neurology 2020; 94:e1314-e1319.
