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Bilateral diaphragmatic paralysis after kidney surgery
S Sozzo1, P Carratù, M F Damiani
1Institute of Pulmonary Disease, University of Bari, Piazza G. Cesare 12, 70100 Bari, Italy.
Summary
A kidney angiomyolipoma surgery led to bilateral diaphragmatic paralysis in a 57-year-old woman. This rare case suggests post-surgical neuralgic amyotrophy affecting the phrenic nerve.
Area of Science:
- Nephrology
- Neurology
- Pulmonology
Background:
- A 57-year-old woman with a kidney angiomyolipoma underwent surgical resection.
- Post-operative complications can arise from various causes, including neurological events.
Observation:
- Two weeks post-surgery, the patient presented with severe dyspnea and orthopnea.
- Chest X-ray revealed elevated hemidiaphragms, and pressure measurements confirmed bilateral diaphragmatic paralysis.
Findings:
- The diaphragmatic paralysis was strongly suspected to be a result of post-surgical neuralgic amyotrophy.
- This condition, also known as Parsonage-Turner Syndrome, rarely affects only the phrenic nerve after distant surgery.
Implications:
- This case highlights a rare neurological complication following kidney surgery.
- It underscores the importance of considering neuralgic amyotrophy in patients with unexplained diaphragmatic paralysis post-operatively.
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