ArticleCureus2024
Bilateral Diaphragmatic Nerve Paralysis Secondary to Cervical Spondylosis: A Rare Case.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07628348 (Effects of Diaphragmatic Release Technique on Neck Pain, Range of Motion, and Chest Expansion in Patients With Cervical Radiculopathy), which is not on this map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effects of Diaphragmatic Release Technique on Neck Pain, Range of Motion, and Chest Expansion in Patients With Cervical Radiculopathy
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Bilateral diaphragmatic nerve paralysis due to cervical spondylosis is an extremely rare condition with only one previously reported case. We present a 64-year-old Japanese male with a history of left diaphragmatic nerve paralysis who developed sudden nocturnal dyspnea. Physical examination revealed orthopnea and type 2 respiratory failure. Imaging studies showed bilateral diaphragmatic elevations and cervical spine stenosis at C3/C4 and C4/C5 levels. Pulmonary function tests demonstrated a significant reduction in vital capacity, particularly in the supine position. After excluding other potential causes, the diagnosis of bilateral diaphragmatic nerve paralysis secondary to cervical spondylosis was established. The patient was successfully treated with noninvasive positive pressure ventilation (NPPV) and showed gradual improvement in symptoms and diaphragmatic function over three years of follow-up. This case highlights the importance of considering cervical spondylosis as a potential etiology for bilateral diaphragmatic nerve paralysis and demonstrates the effectiveness of NPPV in managing this rare condition. Regular monitoring and long-term follow-up are crucial for optimal management of these patients.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.