Rison Richard A, Beydoun Said R
University of Southern California, Keck School of Medicine, Los Angeles County Medical Center, Los Angeles, 90033 USA.
Clin Neurol Neurosurg. 2011 Nov;113(9):788-91. doi: 10.1016/j.clineuro.2011.08.012. Epub 2011 Sep 8.
Bilateral phrenic neuropathy is an uncommon complication of diabetes mellitus.
We present a patient with diabetes mellitus who developed dyspnea from diaphragmatic paresis secondary to bilateral phrenic neuropathies on the background of subclinical generalized polyneuropathy documented by electrodiagnostic studies. The patient was treated with intravenous immunoglobulin with improved diaphragmatic function.
Phrenic neuropathy is a rare but important complication of diabetes mellitus. We report the first case of the beneficial use of intravenous immunoglobulin in diabetic phrenic neuropathy.
双侧膈神经病变是糖尿病一种不常见的并发症。
我们报告一例糖尿病患者,在电诊断研究记录的亚临床型全身性多发性神经病变背景下,继发于双侧膈神经病变的膈肌麻痹导致呼吸困难。该患者接受静脉注射免疫球蛋白治疗后膈肌功能得到改善。
膈神经病变是糖尿病一种罕见但重要的并发症。我们报道了首例静脉注射免疫球蛋白成功用于治疗糖尿病性膈神经病变的病例。