Posted By CCF Neurology MD:NT on November 22, 1998 at 21:14:09:
In Reply to: Paralyzed diaphragm posted by Frederick Kubik on November 08, 1998 at 17:08:08:
My lower right lobe has been collapsed for 5 monthes now
and the doctors have given me all types of tests to see what caused it.
They say it is because I have a paralyzed diaghragm.
I have been getting weaker, no energy, shortness of breath,
hands falling asleep especially at night and my doctor has finally made
an appointment for me with a neurologist. What can cause these symptoms
and are there any treatments for the collapsed lobe and paralyzed diaphragm?
The two sides of the diaphragm sre supplid by the two phrenic nerves. These are long nerves that start from the upper neck (C2-4 levels), pass through the thorax on either side of the heart, and reach the diaphragm. Despite their theoretical vulnerability due to their length, their isolated involvement is quite rare. Isolated weakness of the left (but not the right) hemidiaphragm is relatively common among normal aymptomatic people.
Phrenic nerve paralysis can occur from trauma to the nerve or to the cervical spinal cord, tumors in the neck or in the chest, vasculitis, and from cold trauma after cardiac surgery. Without an obvious history, however, an isolated phrenic nerve paralysis is commonly attributed to a syndrome called neuralgic amyotrophy. This syndrome in most individuals presents as an acute painful paralysis of one or more of shoulder, arm, or forearm muscles without obvious cause, but sometimes following infection, surgery or vaccination, or during pregnancy. In some cases, instead of involving a nerve of the arm, it involves the phrenic nerve. Onset is often with some shoulder pain.
The problem may improve over time with nerve re-growth in some cases. In any situation, a consultation with a pulmonologist is appropriate for management of collapse with positive-pressure breaths, etc. An EMG examination may be helpful diagnostically and prognostically.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.