Respiratory Disorders Expert Forum
Phrenic Nerve Palsy and displacement of the diaphragm
About This Forum:

This forum is for questions and support regarding lung and respiratory issues. such as: Allergies, Asthma, Bronchitis, Colds - Flu, Chronic Cough, COPD, Cystic Fibrosis, Emphysema, Fibrosis, Lung Abscess, Nasal Polyps, Pleurisy, Pneumonia, Sarcoidosis, Sinusitis, Tuberculosis.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Avatar universal
Phrenic Nerve Palsy and displacement of the diaphragm
My 12 yr old son had surgery in March, 2000.  Last summer, he developed pnuemonia and was seen by a pediatric pulmonologist.  the chest x-rays showed the right side of his diaphragm was higher than the left. During the course of treatment, no change was noted as the pnuemonia cleared.  He contracted pnuemonia again this spring.  The chest xray showed the diaphragm had displaced even higher into the lung field, restricting the lung to approximately 30% capacity, with the lower lobes apprearing to be non-functioning.  He is also pardoxically breathing in the right.  The diagnosis from the pulmonologist was right phrenic nerve palsy as the instigator of all of this.  He is now also being treated for asthma (which he didn't have prior to all of this).  He was to have surgery to put the diaphragm "back into place", (thoracotomy incision with a mesh to hold the diaphragm in place) but the surgery has been pushed back 6 months to get the asthma controlled.  His current medical regime consists of adviar 250/50 bid, singulair 10 mg qd, maxair prn, xopenex 1.25mg prn tid, and is using a cough assist machine to help keep his lungs as clear as possible.  Is there any way medically to return the diaphragm to it's position?  What other course of treatment are suggested?  The pulmonologist and the surgeon have not encountered this situation before.  Thanks.
Discussion is closed
Cancel
2 Answers
Page 1 of 1
251132 tn?1198082422
The most common cause of paralysis to one side of the diaphragm is trauma to the phrenic nerve that may occur along with surgery.  This is the nerve that normally stimulates the diaphragm to move.  When the diaphragm doesn
Discussion is closed
Cancel
Comment
Avatar universal
A related discussion, paralyzed diaphram was started.
Discussion is closed
Cancel
Comment
A
A
Blank
Request an Appointment
Blank
Asthma Tracker
Asthma Tracker
Start Tracking Now
Blank
Allergy Tracker
Allergy Tracker
Start Tracking Now
RSS Expert Activity
233488 tn?1310696703
Blank
Marathon Running Done Over Many Yea...
05/15 by John C Hagan III, MD, FACS, FAAOBlank
233488 tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
05/15 by John C Hagan III, MD, FACS, FAAOBlank
748543 tn?1463449675
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank