Diaphragmatic paralysis natural history, complications and prognosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahda Alihashemi M.D. [2]

Overview

If left untreated, patients with unilateral diaphragmatic paralysis may recover fully or partially. Common complication of diaaphragmatic paralysis includes severe pulmonary dysfunction in bilateral diaphragmatic paralysis. Prognosis is generally excellent in unilateral diaphragmatic paralysis and bilateral diaphragmatic paralysis is a medical emergency.

Natural History, Complications, and Prognosis

Natural History

If left untreated, patients with unilateral diaphragmatic paralysis may recover fully or partially. Most of the bilateral diaphragmatic paralysis are symptomatic and may develop ventilatory failure. ^[1]

Complications

Common complication of diaphragmatic paralysis include:
- Severe pulmonary dysfunction in bilateral diaphragmatic paralysis.

Prognosis

Prognosis is generally excellent in unilateral diaphragmatic paralysis.^[2]
Bilateral diaphragmatic paralysis is a medical emergency.

References

↑ Byron WA (1983). “Respiratory function after paralysis of the right hemidiaphragm”. Am. Rev. Respir. Dis. 127 (6): 788. doi:10.1164/arrd.1983.127.6.788. PMID 6859664.
↑ Qureshi A (2009). “Diaphragm paralysis”. Semin Respir Crit Care Med. 30 (3): 315–20. doi:10.1055/s-0029-1222445. PMID 19452391.

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[pmid6859664-1] Byron WA (1983). “Respiratory function after paralysis of the right hemidiaphragm”. Am. Rev. Respir. Dis. 127 (6): 788. doi:10.1164/arrd.1983.127.6.788. PMID 6859664.

[pmid19452391-2] Qureshi A (2009). “Diaphragm paralysis”. Semin Respir Crit Care Med. 30 (3): 315–20. doi:10.1055/s-0029-1222445. PMID 19452391.

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