Diaphragmatic paralysis causes: Difference between revisions

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{{CMG}}; {{AE}} {{MA}}
{{CMG}}; {{AE}} {{MA}}
==Overview==
==Overview==
Common causes of unilateral diphragmatic paralysis include idioparhic, phrenic nerve injury in [[cardiac surgery]] and viral infection and less common causes of it include [[cervical spondylosis]], cervical compressive tumors and blunt neck trauma. Common causes of bilateral diphragmatic paralysis include idiopathic, cervical [[spinal cord]] disease and motor neuron disease.  Less common causes of bilateral diphragmatic paralysis include parsonage turner syndrome and malnutrition
Common causes of unilateral diphragmatic paralysis include [[idiopathic]], [[phrenic nerve]] injury in [[cardiac surgery]] and viral infection and less common causes of it include [[cervical spondylosis]], cervical compressive tumors and blunt neck [[trauma]]. Common causes of bilateral diphragmatic paralysis include [[idiopathic]], cervical [[spinal cord]] disease and [[motor neuron disease]].  Less common causes of bilateral diphragmatic paralysis include parsonage turner syndrome and [[malnutrition]].
 
OR
 
The most common cause of [disease name] is [cause 1]. Less common causes of [disease name] include [cause 2], [cause 3], and [cause 4].
 
OR
 
The cause of [disease name] has not been identified. To review risk factors for the development of [disease name], click [[Pericarditis causes#Overview|here]].


==Causes==
==Causes==
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** [[Post-polio syndrome]]
** [[Post-polio syndrome]]
** [[Guillain-Barré syndrome]]
** [[Guillain-Barré syndrome]]
** Post-viral neuropathy ( [[West nile virus|West Nile virus]] )<ref name="pmid14985569">{{cite journal |vauthors=Betensley AD, Jaffery SH, Collins H, Sripathi N, Alabi F |title=Bilateral diaphragmatic paralysis and related respiratory complications in a patient with West Nile virus infection |journal=Thorax |volume=59 |issue=3 |pages=268–9 |year=2004 |pmid=14985569 |pmc=1746955 |doi= |url=}}</ref>
** Post-viral [[neuropathy]] ( [[West nile virus|West Nile virus]] )<ref name="pmid14985569">{{cite journal |vauthors=Betensley AD, Jaffery SH, Collins H, Sripathi N, Alabi F |title=Bilateral diaphragmatic paralysis and related respiratory complications in a patient with West Nile virus infection |journal=Thorax |volume=59 |issue=3 |pages=268–9 |year=2004 |pmid=14985569 |pmc=1746955 |doi= |url=}}</ref>
** [[Thyroid disease|Thyroid Disease]]
** [[Thyroid disease|Thyroid Disease]]
** [[Autoimmune diseases]]  
** [[Autoimmune diseases]]  
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* [[Neuromuscular junction disease]] 
* [[Neuromuscular junction disease]] 
** [[Myasthenia gravis]]<ref name="pmid18785183">{{cite journal |vauthors=Valadas A, de Carvalho M |title=Myasthenia gravis and respiratory failure related to phrenic nerve lesion |journal=Muscle Nerve |volume=38 |issue=4 |pages=1340–1 |year=2008 |pmid=18785183 |doi=10.1002/mus.21067 |url=}}</ref>
** [[Myasthenia gravis]]<ref name="pmid18785183">{{cite journal |vauthors=Valadas A, de Carvalho M |title=Myasthenia gravis and respiratory failure related to phrenic nerve lesion |journal=Muscle Nerve |volume=38 |issue=4 |pages=1340–1 |year=2008 |pmid=18785183 |doi=10.1002/mus.21067 |url=}}</ref>
** Eaton Lambert Syndrome <ref name="NicolleStewart1996">{{cite journal|last1=Nicolle|first1=Michael W.|last2=Stewart|first2=Dwight J.|last3=Remtulla|first3=Hussein|last4=Chen|first4=Robert|last5=Bolton|first5=Charles F.|title=Lambert-Eaton myasthenic syndrome presenting with severe respiratory failure|journal=Muscle & Nerve|volume=19|issue=10|year=1996|pages=1328–1333|issn=0148-639X|doi=10.1002/(SICI)1097-4598(199610)19:10<1328::AID-MUS10>3.0.CO;2-Q}}</ref>
** [[Lambert-Eaton myasthenic syndrome|Eaton Lambert Syndrome]] <ref name="NicolleStewart1996">{{cite journal|last1=Nicolle|first1=Michael W.|last2=Stewart|first2=Dwight J.|last3=Remtulla|first3=Hussein|last4=Chen|first4=Robert|last5=Bolton|first5=Charles F.|title=Lambert-Eaton myasthenic syndrome presenting with severe respiratory failure|journal=Muscle & Nerve|volume=19|issue=10|year=1996|pages=1328–1333|issn=0148-639X|doi=10.1002/(SICI)1097-4598(199610)19:10<1328::AID-MUS10>3.0.CO;2-Q}}</ref>
** Systemic [[botulism]] 
** Systemic [[botulism]] 
* Muscle disease 
* Muscle disease 
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* Neck surgery
* Neck surgery
* [[Pneumonia]]
* [[Pneumonia]]
* [[Iatrogenic]] embolization such as bronchial artery embolization for treatment of [[hemoptysis]]
* [[Iatrogenic]] embolization such as [[bronchial artery]] [[embolization]] for treatment of [[hemoptysis]]
* Neuralgic amyotrophy (inflammatory disorder of brachial plexus)<ref name="pmid16717226">{{cite journal |vauthors=Tsao BE, Ostrovskiy DA, Wilbourn AJ, Shields RW |title=Phrenic neuropathy due to neuralgic amyotrophy |journal=Neurology |volume=66 |issue=10 |pages=1582–4 |year=2006 |pmid=16717226 |doi=10.1212/01.wnl.0000216140.25497.40 |url=}}</ref>
* Neuralgic [[amyotrophy]] (inflammatory disorder of [[brachial plexus]])<ref name="pmid16717226">{{cite journal |vauthors=Tsao BE, Ostrovskiy DA, Wilbourn AJ, Shields RW |title=Phrenic neuropathy due to neuralgic amyotrophy |journal=Neurology |volume=66 |issue=10 |pages=1582–4 |year=2006 |pmid=16717226 |doi=10.1212/01.wnl.0000216140.25497.40 |url=}}</ref>


==== Bilateral diaphragmatic paralysis :<ref name="pmid27929389" /> ====
==== Bilateral diaphragmatic paralysis :<ref name="pmid27929389" /> ====
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Less common causes of diaphragmatic paralysis include:
Less common causes of diaphragmatic paralysis include:
*Parsonage Turner syndrome (brachial neuritis or neuralgic amyotrophy)
*Parsonage Turner syndrome (brachial neuritis or neuralgic amyotrophy)
*Malnutrition<ref name="MurcianoRigaud1994">{{cite journal|last1=Murciano|first1=D|last2=Rigaud|first2=D|last3=Pingleton|first3=S|last4=Armengaud|first4=M H|last5=Melchior|first5=J C|last6=Aubier|first6=M|title=Diaphragmatic function in severely malnourished patients with anorexia nervosa. Effects of renutrition.|journal=American Journal of Respiratory and Critical Care Medicine|volume=150|issue=6|year=1994|pages=1569–1574|issn=1073-449X|doi=10.1164/ajrccm.150.6.7952616}}</ref>
*[[Malnutrition]]<ref name="MurcianoRigaud1994">{{cite journal|last1=Murciano|first1=D|last2=Rigaud|first2=D|last3=Pingleton|first3=S|last4=Armengaud|first4=M H|last5=Melchior|first5=J C|last6=Aubier|first6=M|title=Diaphragmatic function in severely malnourished patients with anorexia nervosa. Effects of renutrition.|journal=American Journal of Respiratory and Critical Care Medicine|volume=150|issue=6|year=1994|pages=1569–1574|issn=1073-449X|doi=10.1164/ajrccm.150.6.7952616}}</ref>


===Genetic Causes===
===Genetic Causes===
*Diaphragmatic paralysis due to [[spinal muscular atrophy]] caused by a mutation in the survival motor neuron 1 (SMN1) gene on chromosome 5q13.2.<ref name="pmid2407409">{{cite journal |vauthors=Sivan Y, Galvis A |title=Early diaphragmatic paralysis. In infants with genetic disorders |journal=Clin Pediatr (Phila) |volume=29 |issue=3 |pages=169–71 |year=1990 |pmid=2407409 |doi=10.1177/000992289002900305 |url=}}</ref>
*Diaphragmatic paralysis due to [[spinal muscular atrophy]] caused by a [[mutation]] in the survival motor neuron 1 (SMN1) gene on chromosome 5q13.2.<ref name="pmid2407409">{{cite journal |vauthors=Sivan Y, Galvis A |title=Early diaphragmatic paralysis. In infants with genetic disorders |journal=Clin Pediatr (Phila) |volume=29 |issue=3 |pages=169–71 |year=1990 |pmid=2407409 |doi=10.1177/000992289002900305 |url=}}</ref>
*[[Pompe's Disease|Acid maltase deficency]] as a cause of diaphragmatic paralysis caused by a mutation in GAA gene on chromosome band 17q23.<ref name="pmid16702877">{{cite journal |vauthors=Kishnani PS, Steiner RD, Bali D, Berger K, Byrne BJ, Case LE, Case L, Crowley JF, Downs S, Howell RR, Kravitz RM, Mackey J, Marsden D, Martins AM, Millington DS, Nicolino M, O'Grady G, Patterson MC, Rapoport DM, Slonim A, Spencer CT, Tifft CJ, Watson MS |title=Pompe disease diagnosis and management guideline |journal=Genet. Med. |volume=8 |issue=5 |pages=267–88 |year=2006 |pmid=16702877 |pmc=3110959 |doi=10.109701.gim.0000218152.87434.f3 |url=}}</ref>
*[[Pompe's Disease|Acid maltase deficency]] as a cause of diaphragmatic paralysis caused by a [[mutation]] in GAA gene on chromosome band 17q23.<ref name="pmid16702877">{{cite journal |vauthors=Kishnani PS, Steiner RD, Bali D, Berger K, Byrne BJ, Case LE, Case L, Crowley JF, Downs S, Howell RR, Kravitz RM, Mackey J, Marsden D, Martins AM, Millington DS, Nicolino M, O'Grady G, Patterson MC, Rapoport DM, Slonim A, Spencer CT, Tifft CJ, Watson MS |title=Pompe disease diagnosis and management guideline |journal=Genet. Med. |volume=8 |issue=5 |pages=267–88 |year=2006 |pmid=16702877 |pmc=3110959 |doi=10.109701.gim.0000218152.87434.f3 |url=}}</ref>


===Causes by Organ System===
===Causes by Organ System===
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|- bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
| '''Gastroenterologic'''
| bgcolor="Beige" | Systemic [[botulism]], Malnutrition
| bgcolor="Beige" | Systemic [[botulism]], [[Malnutrition]]
|-
|-
|- bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
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|- bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Iatrogenic'''
| '''Iatrogenic'''
| bgcolor="Beige" |[[Phrenic nerve]] injury in [[cardiac surgery]], Neck surgery, [[Iatrogenic]] embolization
| bgcolor="Beige" |[[Phrenic nerve]] injury in [[cardiac surgery]], Neck surgery, [[Iatrogenic]] [[embolization]]
|-
|-
|- bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
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|- bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Neurologic'''
| '''Neurologic'''
| bgcolor="Beige" | Large tumors, Spinal cord transection, [[Amyotrophic lateral sclerosis]], [[Guillain-Barré syndrome]], Post-viral neuropathy, [[Myasthenia gravis]], Systemic [[botulism]], Neuralgic amyotrophy, Parsonage Turner syndrome 
| bgcolor="Beige" | Large tumors, Spinal cord transection, [[Amyotrophic lateral sclerosis]], [[Guillain-Barré syndrome]], Post-viral [[neuropathy]], [[Myasthenia gravis]], Systemic [[botulism]], Neuralgic amyotrophy, Parsonage Turner syndrome 
|-
|-
|- bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
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|- bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Pulmonary'''
| '''Pulmonary'''
| bgcolor="Beige" | [[Pneumonia]],
| bgcolor="Beige" | [[Pneumonia]]  
|-
|-
|- bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"

Revision as of 17:22, 13 February 2018

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

Overview

Common causes of unilateral diphragmatic paralysis include idiopathic, phrenic nerve injury in cardiac surgery and viral infection and less common causes of it include cervical spondylosis, cervical compressive tumors and blunt neck trauma. Common causes of bilateral diphragmatic paralysis include idiopathic, cervical spinal cord disease and motor neuron disease. Less common causes of bilateral diphragmatic paralysis include parsonage turner syndrome and malnutrition.

Causes

Life-threatening Causes

  • Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. There are no life-threatening causes of diaphragmatic paralysis

Common Causes

Unilateral diaphragmatic paralysis :[1]

Bilateral diaphragmatic paralysis:[3]

Less Common Causes

Unilateral diaphragmatic paralysis : [8]

Bilateral diaphragmatic paralysis :[3]

Less common causes of diaphragmatic paralysis include:

  • Parsonage Turner syndrome (brachial neuritis or neuralgic amyotrophy)
  • Malnutrition[10]

Genetic Causes

Causes by Organ System

Cardiovascular No underlying causes
Chemical/Poisoning No underlying causes
Dental No underlying causes
Dermatologic No underlying causes
Drug Side Effect No underlying causes
Ear Nose Throat No underlying causes
Endocrine Hypothyroidism, Hyperthyroidism
Environmental No underlying causes
Gastroenterologic Systemic botulism, Malnutrition
Genetic Acid maltase deficiency 
Hematologic No underlying causes
Iatrogenic Phrenic nerve injury in cardiac surgery, Neck surgery, Iatrogenic embolization
Infectious Disease Herpes zoster, Poliomyelitis
Musculoskeletal/Orthopedic Polymyositis, Dermatomyositis, Inclusion body myopathy, Limb-girdle muscular dystrophy, Acid maltase deficiency, Cervical spondylosis,
Neurologic Large tumors, Spinal cord transection, Amyotrophic lateral sclerosis, Guillain-Barré syndrome, Post-viral neuropathy, Myasthenia gravis, Systemic botulism, Neuralgic amyotrophy, Parsonage Turner syndrome 
Nutritional/Metabolic No underlying causes
Obstetric/Gynecologic No underlying causes
Oncologic Cervical compressive tumors,
Ophthalmologic No underlying causes
Overdose/Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary Pneumonia
Renal/Electrolyte No underlying causes
Rheumatology/Immunology/Allergy Autoimmune diseases, Eaton Lambert Syndrome, Polymyositis, Dermatomyositis
Sexual No underlying causes
Trauma Blunt neck trauma,
Urologic No underlying causes
Miscellaneous Idiopathic

Causes in Alphabetical Order

List the causes of the disease in alphabetical order.

The unnamed parameter 2= is no longer supported. Please see the documentation for {{columns-list}}.
3

References

  1. ↑ Dubé, Bruno-Pierre; Dres, Martin (2016). "Diaphragm Dysfunction: Diagnostic Approaches and Management Strategies". Journal of Clinical Medicine. 5 (12): 113. doi:10.3390/jcm5120113. ISSN 2077-0383.
  2. ↑ Canbaz S, Turgut N, Halici U, Balci K, Ege T, Duran E (2004). "Electrophysiological evaluation of phrenic nerve injury during cardiac surgery--a prospective, controlled, clinical study". BMC Surg. 4: 2. doi:10.1186/1471-2482-4-2. PMC 320489. PMID 14723798.
  3. ↑ 3.0 3.1 Dubé BP, Dres M (2016). "Diaphragm Dysfunction: Diagnostic Approaches and Management Strategies". J Clin Med. 5 (12). doi:10.3390/jcm5120113. PMC 5184786. PMID 27929389.
  4. ↑ Chen R, Grand'Maison F, Strong MJ, Ramsay DA, Bolton CF (1996). "Motor neuron disease presenting as acute respiratory failure: a clinical and pathological study". J. Neurol. Neurosurg. Psychiatry. 60 (4): 455–8. PMC 1073907. PMID 8774419.
  5. ↑ Betensley AD, Jaffery SH, Collins H, Sripathi N, Alabi F (2004). "Bilateral diaphragmatic paralysis and related respiratory complications in a patient with West Nile virus infection". Thorax. 59 (3): 268–9. PMC 1746955. PMID 14985569.
  6. ↑ Valadas A, de Carvalho M (2008). "Myasthenia gravis and respiratory failure related to phrenic nerve lesion". Muscle Nerve. 38 (4): 1340–1. doi:10.1002/mus.21067. PMID 18785183.
  7. ↑ Nicolle, Michael W.; Stewart, Dwight J.; Remtulla, Hussein; Chen, Robert; Bolton, Charles F. (1996). "Lambert-Eaton myasthenic syndrome presenting with severe respiratory failure". Muscle & Nerve. 19 (10): 1328–1333. doi:10.1002/(SICI)1097-4598(199610)19:10<1328::AID-MUS10>3.0.CO;2-Q. ISSN 0148-639X.
  8. ↑ Chapman SA, Holmes MD, Taylor DJ (2000). "Unilateral diaphragmatic paralysis following bronchial artery embolization for hemoptysis". Chest. 118 (1): 269–70. PMID 10893396.
  9. ↑ Tsao BE, Ostrovskiy DA, Wilbourn AJ, Shields RW (2006). "Phrenic neuropathy due to neuralgic amyotrophy". Neurology. 66 (10): 1582–4. doi:10.1212/01.wnl.0000216140.25497.40. PMID 16717226.
  10. ↑ Murciano, D; Rigaud, D; Pingleton, S; Armengaud, M H; Melchior, J C; Aubier, M (1994). "Diaphragmatic function in severely malnourished patients with anorexia nervosa. Effects of renutrition". American Journal of Respiratory and Critical Care Medicine. 150 (6): 1569–1574. doi:10.1164/ajrccm.150.6.7952616. ISSN 1073-449X.
  11. ↑ Sivan Y, Galvis A (1990). "Early diaphragmatic paralysis. In infants with genetic disorders". Clin Pediatr (Phila). 29 (3): 169–71. doi:10.1177/000992289002900305. PMID 2407409.
  12. ↑ Kishnani PS, Steiner RD, Bali D, Berger K, Byrne BJ, Case LE, Case L, Crowley JF, Downs S, Howell RR, Kravitz RM, Mackey J, Marsden D, Martins AM, Millington DS, Nicolino M, O'Grady G, Patterson MC, Rapoport DM, Slonim A, Spencer CT, Tifft CJ, Watson MS (2006). "Pompe disease diagnosis and management guideline". Genet. Med. 8 (5): 267–88. doi:10.109701.gim.0000218152.87434.f3 Check |doi= value (help). PMC 3110959. PMID 16702877.

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