NYMC Faculty Publications
Hemidiaphragmatic Paralysis Post Stroke Leading to Hypercapneic Respiratory Failure
Author Type(s)
Faculty
DOI
10.7759/cureus.13141
Journal Title
Cureus
First Page
13141
Last Page
13141
Document Type
Case Report
Publication Date
2-4-2021
Department
Medicine
Abstract
Unilateral diaphragmatic paralysis is a rare complication after stroke. We report a case of right-sided hemidiaphragmatic paralysis after stroke in a 51-year-old man who presented with shortness of breath and orthopnea. Chest X-ray (CXR) revealed an elevated right-sided hemidiaphragm. The weakened diaphragmatic contraction from paralyzed right hemidiaphragm resulted in persistent atelectasis of the right lung base and inadequate alveolar ventilation leading to the development of right basal pneumonia with hypercapneic respiratory failure. However, the patient had a remarkable improvement with the appropriate institution of non-invasive ventilation and medical management with intravenous antibiotics.
Recommended Citation
Arumairaj, A. J., Agarwal, S., Borkar, R., Park, H., & Habtes, I. (2021). Hemidiaphragmatic Paralysis Post Stroke Leading to Hypercapneic Respiratory Failure. Cureus, 13 (2), 13141-13141. https://doi.org/10.7759/cureus.13141
