Unilateral diaphragmatic paralysis in a diabetic patient: A rare cause of dyspnea


Creative Commons License

SOYDAN S., BAZNA K. N., ERDOĞDU F. M., KARATAŞ L., ZİNNUROĞLU M.

TURKISH JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION, 2025 (SCI-Expanded, Scopus, TRDizin)

Özet

Diaphragmatic paralysis is a rare cause of dyspnea, often resulting from trauma or neuropathic conditions. Although uncommon, diabetic neuropathy can involve the phrenic nerve. Herein, we presented a case of unilateral diaphragmatic paralysis in a 62-year-old male with uncontrolled type 2 diabetes mellitus. Diagnosis was confirmed by phrenic nerve conduction studies and dynamic ultrasonography. Elevated hemoglobin A1c was noted, with no other identifiable cause. Glycemic control was prioritized in management. This case highlights the importance of considering phrenic nerve involvement in diabetic patients with unexplained dyspnea and underscores ultrasonography's diagnostic value in such cases.