Skip to main content

Unilateral Paralyzed Hemidiaphragm (UPD)

Laura B. Bishop, MD Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Often an incidental finding on chest radiograph: the paralyzed hemidiaphragm will be elevated and an accentuated dome seen on both PA and lateral films, can be confirmed by ultrasoun...

DIAGNOSIS

HISTORY

  • Often asymptomatic at rest

  • Dyspnea on exertion/decreased exercise tolerance to previous activities

    • Often mild, only during activity or while laying with paralyzed diaphragm side down

    • Dys...

TREATMENT

As most cases are incidentally found, there is generally no treatment required for the majority of cases. 

GENERAL MEASURES

  • Treat underlying disorders and optimize other pulmonary disorders.

  • Ob...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Monitor clinical status and chest films for 1-3 years to ensure recovery.

  • Monitor for stability of lung function with serial pulmonary function ...

REFERENCES

1
Benditt  JO, Boitano  LJ. Pulmonary issues in patients with chronic neuromuscular disease. Am J Respir Crit Care Med.  2013; 187(10): 104...

CODES

ICD10

J98.6 Disorders of diaphragm 

SNOMED

64228003 paralysis of diaphragm (disorder) 

CLINICAL PEARLS

  • Often an incidental finding with chest radiograph, with no need for further evaluation, unless accompanying dyspnea or other respiratory symptoms

  • Dyspnea on exertion/decreased exercise ...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×