caa a22 4500 467934878 CHVBK 20180406152954.0 cr unu---uuuuu 170328e20060801xx s 000 0 eng 10.1007/s00408-005-2583-y doi (NATIONALLICENCE)springer-10.1007/s00408-005-2583-y An Unusual Cause of Dyspnea in a Patient with Relapsing Breast Cancer [Elektronische Daten] [Alexandra Chroneou, Paraskevi Katsaounou, Maria Gangadi, Stavros Pampukos, Konstantinos Kougianos, Nikolaos Zias, George Politis] Bilateral diaphragmatic paralysis (BDP) is usually caused by anatomic lesions of both phrenic nerves or generalized neurologic diseases. BDP has also been observed during and after infections, associated with mediastinal tumors, or may have an idiopathic etiology. A 57-year-old woman with breast cancer had progressive dyspnea that worsened when in the supine position. Lung function tests and phrenic nerve stimulation revealed bilateral diaphragmatic paralysis. Clinical suspicion of BDP should always be raised in patients suffering from progressive dyspnea and orthopnea. Determination of (VC) when standing and in the supine position and measurement of trandiaphragmatic pressure should reveal this uncommon diagnosis. Springer Science+Business Media, Inc., 2006 Orthopnea nationallicence Diaphragmatic paralysis nationallicence Phrenic nerves nationallicence Branchial neuritis nationallicence Chroneou Alexandra Department of Pulmonology, St. Savvas Hospital, Athens, Greece aut Katsaounou Paraskevi Department of Pulmonology, St. Savvas Hospital, Athens, Greece aut Gangadi Maria Department of Pulmonology, St. Savvas Hospital, Athens, Greece aut Pampukos Stavros Department of Pulmonology, St. Savvas Hospital, Athens, Greece aut Kougianos Konstantinos Department of Pulmonology, St. Savvas Hospital, Athens, Greece aut Zias Nikolaos Department of Pulmonology, St. Savvas Hospital, Athens, Greece aut Politis George Department of Pulmonology, St. Savvas Hospital, Athens, Greece aut Lung Springer-Verlag; www.springer-ny.com 184/4(2006-08-01), 245-248 0341-2040 184:4<245 2006 184 408 https://doi.org/10.1007/s00408-005-2583-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00408-005-2583-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Chroneou Alexandra Department of Pulmonology, St. Savvas Hospital, Athens, Greece aut NATIONALLICENCE 700 1- Katsaounou Paraskevi Department of Pulmonology, St. Savvas Hospital, Athens, Greece aut NATIONALLICENCE 700 1- Gangadi Maria Department of Pulmonology, St. Savvas Hospital, Athens, Greece aut NATIONALLICENCE 700 1- Pampukos Stavros Department of Pulmonology, St. Savvas Hospital, Athens, Greece aut NATIONALLICENCE 700 1- Kougianos Konstantinos Department of Pulmonology, St. Savvas Hospital, Athens, Greece aut NATIONALLICENCE 700 1- Zias Nikolaos Department of Pulmonology, St. Savvas Hospital, Athens, Greece aut NATIONALLICENCE 700 1- Politis George Department of Pulmonology, St. Savvas Hospital, Athens, Greece aut NATIONALLICENCE 773 0- Lung Springer-Verlag; www.springer-ny.com 184/4(2006-08-01), 245-248 0341-2040 184:4<245 2006 184 408 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer