Diaphragmatic paralysis: management
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Diaphragmatic paralysis: management. Chest X-ray: this shows an elevated diaphragm, Fluoroscopy of diaphragm. Fully referenced neurology checklist.
Imaging investigations
- Chest X-ray: this shows an elevated diaphragm
- Fluoroscopy of diaphragm
Lung function tests
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Sniff test
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Diaphragmatic electromyogram (EMG)
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Phrenic pacing: indications
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Precautions
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Other treatments
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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.
