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

Dr. Prerna Singh, Dr. Ankit Jain, Dr. Yashvinder Kumar, Dr. Rohan Gupta, Dr. Shaleen Prasad, Dr. V K Gupta, Dr. Mayank Swarnkar

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

How to Cite?: Dr. Prerna Singh, Dr. Ankit Jain, Dr. Yashvinder Kumar, Dr. Rohan Gupta, Dr. Shaleen Prasad, Dr. V K Gupta, Dr. Mayank Swarnkar, "Management of Diaphragmatic Palsy in a Patient with Past History of Cerebrovascular Accident? Case Report", Volume 12 Issue 5, May 2023, International Journal of Science and Research (IJSR), Pages: 90-92, https://www.ijsr.net/getabstract.php?paperid=SR23430115702, DOI: https://dx.doi.org/10.21275/SR23430115702