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VOLUME 22 , ISSUE 10 ( 2018 ) > List of Articles

CASE REPORT

Bilateral phrenic nerve palsy in a diabetic causing respiratory failure

Robert Da Costa, Pezad Doctor, Kaustubh Mahajan, Vidyadhara G. Lakkappan

Keywords : Diabetes neuropathy, phrenic nerve, respiratory failure

Citation Information : Da Costa R, Doctor P, Mahajan K, Lakkappan VG. Bilateral phrenic nerve palsy in a diabetic causing respiratory failure. Indian J Crit Care Med 2018; 22 (10):737-739.

DOI: 10.4103/ijccm.IJCCM_261_18

License: CC BY-ND 3.0

Published Online: 01-10-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Neuropathy is one of the major reasons of morbidity in diabetes mellitus (DM). We presented a 64-year-old male who was a case of type 2 DM for >6 years. He presented with orthopnea and respiratory failure secondary to bilateral phrenic neuropathy and resultant diaphragmatic palsy. Clinical examination, ultrasound, and nerve conduction studies confirmed the bilateral involvement of the phrenic nerves. Phrenic neuropathy may be an important, albeit a rare complication of diabetes, and hence, diaphragmatic dysfunction associated with diabetic phrenic neuropathy should be considered in any patient with unexplained breathlessness, orthopnea, and respiratory failure.


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