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(Chest. 1973;64:355-357.)
© 1973 American College of Chest Physicians

Transient Bilateral Diaphragmatic Paralysis

Shimon A. Spitzer M.D., F.C.C.P.1; Amos D. Korozyn M.D.1; and Joseph Kalaci M.D.1

1 Pulmonary Section, Cardiopulmonary Laboratory, Department of Internal Medicine B, Beilinson Hospital, Tel Aviv University Medical School, and Central Clinic of Kupat Holim, Ramat Gan, Israel

Orthopnea developed in a 60-year-old patient following a flu-like illness. Spontaneous remission occurred 15 months later. Paradoxic movements of the abdomen and diaphragm accompanied by marked diminution of static lung volumes in the supine as compared to the erect position were indicative of the absence of diaphragmatic function. The etiology of this condition is assumed to be post infectious bilateral phrenic neuritis.




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