Acute Bilateral Diaphragmatic Palsy :Unusual Cause of Orthopnea
Keywords:Bilateral diaphragmatic palsy(BDP),orthopnoea,paradoxical respiration,Non invasive ventilation,Respiratory failure
A middle aged lady presented with acute onset respiratory insufficiency without any predisposing factors.
Pulmonary, cardiac,neurological and infectious causes were excluded after detailed examination.Bilateral
diaphragmatic palsy was considered after meticulous survey.She benefited with non invasive bilevel
positive airway pressure(BiPAP) support.High degree of clinical suspicion is stressed in diagnosing bilateral
diphragmatic palsy and execellent results on treatment with non invasive ventilation.