Clinical neurology and neurosurgery · 2011
Bilateral phrenic neuropathies in a diabetic patient responsive to intravenous immunoglobulin: a case report.
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Rison Richard A, Beydoun Said R
Аннотация
INTRODUCTION: Bilateral phrenic neuropathy is an uncommon complication of diabetes mellitus.
CASE PRESENTATION: We present a patient with diabetes mellitus who developed dyspnea from diaphragmatic paresis secondary to bilateral phrenic neuropathies on the background of subclinical generalized polyneuropathy documented by electrodiagnostic studies. The patient was treated with intravenous immunoglobulin with improved diaphragmatic function.
CONCLUSION: Phrenic neuropathy is a rare but important complication of diabetes mellitus. We report the first case of the beneficial use of intravenous immunoglobulin in diabetic phrenic neuropathy.
CASE PRESENTATION: We present a patient with diabetes mellitus who developed dyspnea from diaphragmatic paresis secondary to bilateral phrenic neuropathies on the background of subclinical generalized polyneuropathy documented by electrodiagnostic studies. The patient was treated with intravenous immunoglobulin with improved diaphragmatic function.
CONCLUSION: Phrenic neuropathy is a rare but important complication of diabetes mellitus. We report the first case of the beneficial use of intravenous immunoglobulin in diabetic phrenic neuropathy.
Предметные рубрики MeSH
Continuous Positive Airway PressureDiabetes Mellitus, Type 2Diabetic NeuropathiesDiaphragmEvoked PotentialsHumansHypertensionImmunoglobulins, IntravenousMagnetic Resonance ImagingMaleMiddle AgedNeural ConductionNeurologic ExaminationPeripheral Nervous System DiseasesPhrenic NerveTomography, X-Ray Computed