Abstract

IDIOPATHIC DIAPHRAGMATIC PALSY ASSOCIATED WITH MOTOR AXONAL NEUROPATHY: A RARE CASE REPORT

Roopan J., Aniket Saha*, Biswajit Haldar, Nirmala S., Praveen Kumar, Rohith A.

Abstract

The loss of diaphragmatic muscle function, known as diaphragmatic palsy, is brought on by either phrenic nerve damage or muscle fiber weakening. Both unilateral and bilateral, it is frequently linked to generalized neuromuscular problems, although it can also be idiopathic, caused by trauma, compression, infection, or inflammation. The source, length, and degree of involvement all affect the symptoms, but frequent ones include anxiety, morning headaches, sleep difficulties, daytime somnolence, dyspnea, and orthopnea. Reduced thoracic muscular tone during rapid-eye-movement (REM) sleep frequently exacerbates these symptoms, resulting in hypoxemia and hypercapnia. We report a case of a 69-year old male who presented with the symptoms of idiopathic diaphragmatic palsy and with a known history of motor axonal neuropathy.

Keywords: Diaphragmatic Palsy, Neuromuscular Disorders, Idiopathic, Dyspnea.