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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
Validation
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