Resolution of Right Hemidiaphragm Paralysis following Cervical Foraminotomies

Introduction. Hemidiaphragm paralysis secondary to phrenic nerve palsy is a well-recognised medical condition. There are few case reports in the literature documenting resolution of hemidiaphragm paralysis following cervical spine surgery. This case report documents our experience with one such case...

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Main Authors: Neal Singleton, Matthew Bowman, David Bartle
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2018/6195179
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author Neal Singleton
Matthew Bowman
David Bartle
author_facet Neal Singleton
Matthew Bowman
David Bartle
author_sort Neal Singleton
collection DOAJ
description Introduction. Hemidiaphragm paralysis secondary to phrenic nerve palsy is a well-recognised medical condition. There are few case reports in the literature documenting resolution of hemidiaphragm paralysis following cervical spine surgery. This case report documents our experience with one such case. Case Presentation. A 64-year-old man was referred to the orthopaedic service with right hemidiaphragm paralysis. He had a previous history of asbestos exposure and polio and was initially seen and investigated by the respiratory physicians. He also reported intermittent neck pain and an MRI scan showed right-sided cervical foraminal stenosis. He underwent posterior right C3/4 and C4/5 foraminotomies, and by three months postoperatively, his hemidiaphragm paralysis had resolved and his shortness of breath had also improved. Conclusion. This report documents a unique case of resolution of hemidiaphragm paralysis following posterior unilateral cervical foraminotomies.
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spelling doaj-art-db493bb6579c43e6b46cb19c94e6bcfe2025-02-03T06:01:54ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/61951796195179Resolution of Right Hemidiaphragm Paralysis following Cervical ForaminotomiesNeal Singleton0Matthew Bowman1David Bartle2Orthopaedic Department, Tauranga Hospital, Cameron Road, Tauranga, New ZealandOrthopaedic Department, Tauranga Hospital, Cameron Road, Tauranga, New ZealandOrthopaedic Department, Tauranga Hospital, Cameron Road, Tauranga, New ZealandIntroduction. Hemidiaphragm paralysis secondary to phrenic nerve palsy is a well-recognised medical condition. There are few case reports in the literature documenting resolution of hemidiaphragm paralysis following cervical spine surgery. This case report documents our experience with one such case. Case Presentation. A 64-year-old man was referred to the orthopaedic service with right hemidiaphragm paralysis. He had a previous history of asbestos exposure and polio and was initially seen and investigated by the respiratory physicians. He also reported intermittent neck pain and an MRI scan showed right-sided cervical foraminal stenosis. He underwent posterior right C3/4 and C4/5 foraminotomies, and by three months postoperatively, his hemidiaphragm paralysis had resolved and his shortness of breath had also improved. Conclusion. This report documents a unique case of resolution of hemidiaphragm paralysis following posterior unilateral cervical foraminotomies.http://dx.doi.org/10.1155/2018/6195179
spellingShingle Neal Singleton
Matthew Bowman
David Bartle
Resolution of Right Hemidiaphragm Paralysis following Cervical Foraminotomies
Case Reports in Orthopedics
title Resolution of Right Hemidiaphragm Paralysis following Cervical Foraminotomies
title_full Resolution of Right Hemidiaphragm Paralysis following Cervical Foraminotomies
title_fullStr Resolution of Right Hemidiaphragm Paralysis following Cervical Foraminotomies
title_full_unstemmed Resolution of Right Hemidiaphragm Paralysis following Cervical Foraminotomies
title_short Resolution of Right Hemidiaphragm Paralysis following Cervical Foraminotomies
title_sort resolution of right hemidiaphragm paralysis following cervical foraminotomies
url http://dx.doi.org/10.1155/2018/6195179
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