Rare Diseases Symptoms Automatic Extraction

Bilateral diaphragmatic paralysis after kidney surgery.

[neuralgic amyotrophy]

A 57-year-old woman underwent an enucleoresection of her right kidney angiomyolipoma. Two weeks later she was admitted to our hospital because of dyspnea at rest with orthopnea. The chest x-ray showed the elevation of both hemidiaphragms and the measurement of the sniff transdiaphragmatic pressure confirmed the diagnosis of bilateral diaphragmatic paralysis. A diaphragm paralysis can be ascribed to several causes, i.e. trauma, compressive events, inflammations, neuropathies, or it can be idiopathic. In this case, it was very likely that the patient suffered from post-surgery neuralgic amyotrophy. To our knowledge, there are only a few reported cases of neuralgic amyotrophy, also known as Parsonage-Turner Syndrome, which affects only the phrenic nerve as a consequence of a surgery in an anatomically distant site.

Diseases presenting "dyspnea" symptom

  • acute rheumatic fever
  • allergic bronchopulmonary aspergillosis
  • carcinoma of the gallbladder
  • congenital diaphragmatic hernia
  • cushing syndrome
  • cutaneous mastocytosis
  • dedifferentiated liposarcoma
  • erdheim-chester disease
  • esophageal carcinoma
  • fabry disease
  • familial mediterranean fever
  • inclusion body myositis
  • liposarcoma
  • lymphangioleiomyomatosis
  • neuralgic amyotrophy
  • pleomorphic liposarcoma
  • primary effusion lymphoma
  • scrub typhus
  • systemic capillary leak syndrome
  • thoracic outlet syndrome
  • well-differentiated liposarcoma

This symptom has already been validated