Diaphragmatic paralysis: management

Evidence-based neurology checklist on diaphragmatic paralysis: management: Imaging investigations Chest X-ray: this shows an elevated diaphragm Fluoroscopy of diaphragm Lung function tests Sniff test Diaphragmatic electromyogram (EMG) Phrenic pacing: indications Precautions Other treatments

Imaging investigations

  • Chest X-ray: this shows an elevated diaphragm
  • Fluoroscopy of diaphragm

Lung function tests

Sniff test

Diaphragmatic electromyogram (EMG)

Phrenic pacing: indications

Precautions

Other treatments

References

  1. McCool FD, Tzelepis GE. Dysfunction of the diaphragm. N Engl J Med 2012; 366:932-942.
  2. Burton EA, Winer JB, Barber PC. Giant cell arteritis of the cervical radicular vessels presenting with diaphragmatic weakness. JNNP 1999; 67:223-226.
  3. Ahmed R, McNamara S, Gandevia S, Halmagyi GM. Paradoxical abdominal wall movement in bilateral diaphragmatic paralysis. Pract Neurol 2012; 12:184-186.
  4. 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.

Related checklists

Loading...