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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
.
