International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Call for Papers | Fully Refereed | Open Access | Double Blind Peer Reviewed

ISSN: 2319-7064

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Case Studies | Medical Surgical | India | Volume 12 Issue 5, May 2023

Management of Diaphragmatic Palsy in a Patient with Past History of Cerebrovascular Accident? Case Report

Dr. Prerna Singh [2] | Dr. Ankit Jain [3] | Dr. Yashvinder Kumar | Dr. Rohan Gupta [2] | Dr. Shaleen Prasad | Dr. V K Gupta [2] | Dr. Mayank Swarnkar [2]

Abstract: A 50 - year - old, non diabetic, non hypertensive, non smoker male presented in outpatient in Jan 2022 in CTVS department with history of increasing shortness of breath along with a past history of cerebrovascular accident one year back. On general examination, patient was haemodynamically stable. Respiratory examination revealed bilateral symmetrical expansion of chest wall with decrease breath sounds in left hemithorax. Chest roentgenogram showed elevated left dome of diaphragm. A Computed Tomography scan thorax and abdomen was done to rule out any additional pathology. Patient subsequently underwent plication of diaphragm via left posterolateral thoracotomy under general anaesthesia. Patient had uneventful recovery and showed no recurrence of symptoms on follow ups at 2 - weeks, 6 - weeks, 6 months and one year post - operatively. Patient resumed his occupation with no difficulty.

Keywords: Acute stroke, clinical implication, Respiratory insufficiency, diaphragmatic palsy

Edition: Volume 12 Issue 5, May 2023,

Pages: 90 - 92

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