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Phrenic nerve palsy is a relatively rare disease caused by several conditions that impair the phrenic nerve (1,2). Among them, patients with “idiopathic” phrenic nerve palsy, whose causative condition are unknown, is the most common (1,2). Neurological examinations such as electromyography are known as accurate diagnostic methods for phrenic nerve palsy (3). Since these examinations are complicated, many reports have used “lack of vertical movement of the diaphragm during inspiration and expiration” as a diagnostic method (1,2). The thinning of the diaphragm seems to be a consequence of the palsy, related to secondary muscle atrophy (4,5). We show, herein, a patient with idiopathic phrenic nerve palsy of the right, which was accompanied with diaphragm thinning on the affected side.

Diaphragm thinning due to phrenic nerve palsy