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Bilateral phrenic nerve paralysis manifested by orthopnea for 6 months in a patient with neuralgic amyotrophy.
[neuralgic amyotrophy]
Bilateral
phrenic
nerve
paralysis
(
BPP
)
is
a
relatively
rare
disease
manifested
by
slight
dyspnea
at
rest
and
on
exertion
in
the
sitting
and
standing
positions
and
by
dyspnea
in
the
supine
position
.
A
67
-
year
-old
man
,
who
was
a
painter
,
presented
with
severe
pain
in
both
shoulder
regions
that
had
evolved
into
orthopnea
and
forced
him
to
sleep
in
a
sitting
position
at
night
.
Dyspnea
and
paradoxical
respiratory
movement
in
the
supine
position
raised
suspicions
of
BPP
.
The
most
striking
feature
in
this
case
was
that
the
rapid
onset
of
pain
in
both
shoulder
regions
was
followed
by
BPP
.
The
BPP
was
considered
to
be
secondary
to
neuralgic
amyotrophy
(
NA
)
.
Diseases
Validation
Diseases presenting
"dyspnea in the supine position"
symptom
neuralgic amyotrophy
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