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Type 2 respiratory failure secondary to left hemidiaphragmatic paralysis

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By Daniel Fiott, Jonathan Gauci, Michael Pace Bardon, Martin Balzan
| breathe.ersjournals.com
Discussion The most likely cause of this patient's respiratory acidosis was left hemidiaphragmatic paralysis due to left phrenic neuropathy secondary to cervical spondylosis affecting the origin of the left phrenic nerve, as evidenced by the findings on MRI. Damage to the phrenic nerve could also have occurred following the previous gastric surgery or the complicating abscess or invasion by the tumour.
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