Hi,
Unilateral diaphragmatic paralysis is often discovered incidentally in patients undergoing chest radiography for some other reason. Patients usually are asymptomatic at rest but experience dyspnea on exertion and have a decrease in exercise performance. This may result from an acquired dysfunction of the phrenic nerve.
The progression of dyspnea is caused by a decline in lung volumes, i.e. vital capacity (VC) and forced expiratory volume in one second (FEV1). Fo patients who are asymptomatic, they do not require treatment. Diaphragm plication in patients with dyspnea that is disproportionate to the degree of physical activity or severity of lung disease may be done.
Depending on the etiology of the diaphragmatic paralysis, the outcome of unilateral disease usually is good unless the patient has significant underlying pulmonary disease.
This link may be helpful: http://www.emedicine.com/Med/topic554.htm
Take care and regards.
You seem to having unilateral diaphragmatic paralysis which is the paralysis of one side of the diaphragm. This condition is usually well tolerated and most patients are asymptomatic if there is no underlying lung or chest disease.
The causes of unilateral diaphragmatic paralysis can be
• Tumor nerve compression (approximately 30% of patients) o
• Lesions adjacent to a phrenic nerve (eg, pneumonia, pleurisy, aortic aneurysm, substernal goiter, neoplasms)
• Natural or surgical trauma, herpes zoster, and cervical spondylosis
• Trauma (common and may result from thoracic surgery, manipulation of cervical spine, central venous catheterization, open heart surgery)
• Herpes zoster, infection, vasculitis, and diabetes mellitus (may be caused by peripheral neuropathy of phrenic nerve)
• Idiopathic
As mentioned, one sided paralysis is usually well tolerated with symptoms occurring in case of underlying disease or exercise.
Treatment is directed towards treating the cause and providing supportive ventilatory care in case of symptomatic patients.
Do write in if you need more information.
Regards.