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Phrenic nerve palsy as a feature of chronic inflammatory demyelinating polyradiculoneuropathy
Author(s) -
Stojkovic Tanya,
De Seze Jérôme,
Hurtevent JeanFrançois,
Fourrier François,
Vermersch Patrick
Publication year - 2003
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.10361
Subject(s) - polyradiculoneuropathy , medicine , phrenic nerve , anesthesia , guillain barre syndrome , respiratory system , palsy , surgery , pediatrics , pathology , alternative medicine
We report four patients with chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) who presented with phrenic nerve palsy, which was unilateral in two instances. The two patients with bilateral phrenic nerve involvement required mechanical ventilation. After treatment with intravenous immunoglobulins (IVIg) or steroids, the sensorimotor deficit and respiratory parameters improved in three patients, but the fourth patient remained ventilator dependent and died from pulmonary infection. Although rare, phrenic nerve palsy may be a feature of CIDP and may be responsive to treatment with IVIg or steroids. Muscle Nerve 27: 497–499, 2003