{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T22:45:35Z","timestamp":1777416335887,"version":"3.51.4"},"reference-count":18,"publisher":"BMJ","issue":"11","license":[{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/bmj.com\/coronavirus\/usage"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["T32 HL116275"],"award-info":[{"award-number":["T32 HL116275"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,10,28]]},"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:p>We describe a 56-year-old female patient hospitalised with COVID-19 in April 2020 who had persistent respiratory symptoms after radiographic and microbiologic recovery. X-ray of the chest demonstrated an elevated right hemidiaphragm while fluoroscopy confirmed unilateral diaphragmatic paralysis. Symptoms resolved gradually, concurrent with restoration of right hemidiaphragm function. Thus, we describe a rare cause of postacute sequelae of COVID-19 dyspnoea.<\/jats:p>","DOI":"10.1136\/bcr-2021-246668","type":"journal-article","created":{"date-parts":[[2021,11,23]],"date-time":"2021-11-23T12:23:54Z","timestamp":1637670234000},"page":"e246668","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Diaphragmatic paralysis in COVID-19: a rare cause of postacute sequelae of COVID-19 dyspnoea"],"prefix":"10.1136","volume":"14","author":[{"given":"Nupur","family":"Dandawate","sequence":"first","affiliation":[{"name":"Department of Medicine, Salem Hospital, Salem, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Humphreys","sequence":"additional","affiliation":[{"name":"Department of Medicine, Salem Hospital, Salem, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Gordan","sequence":"additional","affiliation":[{"name":"Department of Medicine, Salem Hospital, Salem, Massachusetts, USA"},{"name":"Tufts University School of Medicine, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3802-4695","authenticated-orcid":false,"given":"Daniel","family":"Okin","sequence":"additional","affiliation":[{"name":"Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA"},{"name":"Division of Pulmonary and Critical Care Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,11,23]]},"reference":[{"key":"2025082712263534000_14.11.e246668.1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2020.1127"},{"key":"2025082712263534000_14.11.e246668.2","doi-asserted-by":"publisher","DOI":"10.1002\/mus.27024"},{"key":"2025082712263534000_14.11.e246668.3","first-page":"102","article-title":"Mononeuritis multiplex associated with Sars-Cov2-Covid-19 infection: case report","volume":"7","author":"Est\u00e9vez-Rivera","year":"2020","journal-title":"Int J Neurol Neurother"},{"key":"2025082712263534000_14.11.e246668.4","first-page":"001728","article-title":"Respiratory distress in SARS-CoV-2 without lung damage: phrenic paralysis should be considered in COVID-19 infection","volume":"7","author":"Maurier","year":"2020","journal-title":"Eur J Case Rep Intern Med"},{"key":"2025082712263534000_14.11.e246668.5","doi-asserted-by":"crossref","unstructured":"Farr E , Wolfe AR , Deshmukh S . 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Recognition of phrenic paralysis as atypical presentation during CT chest examination of COVID-19 infection and its correlation with CT severity scoring: a local experience during pandemic era. 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