Acute Bilateral Diaphragmatic Palsy :Unusual Cause of  Orthopnea

Authors

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.

Upadhyay Sushil1 , Lakhanpal Mahima2

1 Senior Consultant Respiratory Medicine, Holy Family Hospital,Delhi,India, 2 Assistant Professor Anaesthesia and

Critical Care,Santosh Medical college and hospital Ghaziabad,UP,India