Cervical foraminal stenosis causing unilateral diaphragmatic paralysis without neurologic manifestation: A case report and review of the literature.

Abstract:

RATIONALE:Unilateral diaphragmatic paralysis due to cervical spondylosis has rarely been reported. We present the first case of unilateral diaphragmatic paralysis without radicular pain or motor weakness due to cervical foraminal stenosis and a review of the related literature. PATIENT CONCERNS:A 59-year-old man presented with dyspnea and fever. His chest radiograph revealed right hemidiaphragmatic paralysis. DIAGNOSES:The differential diagnosis of phrenic nerve palsy excluded mediastinal and neurodegenerative diseases. Imaging studies showed right foraminal stenosis caused by cervical spondylosis at C3-4 and C4-5. INTERVENTIONS:The patient underwent foraminotomy at C3-4 and C4-5 on the right side. The operative findings revealed a severe compression of the C4 root. OUTCOMES:At 3 months postoperatively, the unilateral diaphragmatic paralysis and dyspnea were recovered. LESSONS:Hemidiaphragmatic paralysis deserves careful evaluation for the presence of cervical spondylosis, even without concomitant neurologic manifestations.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Park HY,Kim KW,Ryu JH,Lim CR,Han SB,Lee JS

doi

10.1097/MD.0000000000021349

subject

Has Abstract

pub_date

2020-09-11 00:00:00

pages

e21349

issue

37

eissn

0025-7974

issn

1536-5964

pii

00005792-202009110-00002

journal_volume

99

pub_type

杂志文章,评审

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