{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T22:25:31Z","timestamp":1770071131250,"version":"3.49.0"},"reference-count":0,"publisher":"SMC Media","issue":"Vol 7 No 2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Bilateral diaphragm paralysis due to bilateral isolated phrenic neuropathy (BIPN) is a very rare cause of unexplained respiratory failure. We present a 65-year-old patient with no relevant previous medical history who presented in the Pulmonology Clinic with mMRC1 dyspnoea and orthopnoea. After the medical work-up, diaphragmatic paresis was diagnosed. Inspiratory muscle training resulted in mild symptomatic improvement and treatment with noninvasive mechanical ventilation (NIV) was initiated. This condition is generally chronic and has a poorer prognosis, compared to other cases of phrenic nerve involvement. In this case, NIV restored near-normal daily function.<\/jats:p>","DOI":"10.12890\/2020_001258","type":"journal-article","created":{"date-parts":[[2021,5,25]],"date-time":"2021-05-25T13:52:37Z","timestamp":1621950757000},"source":"Crossref","is-referenced-by-count":1,"title":["Bilateral Isolated Phrenic Neuropathy: a Rare Cause of Dyspnoea"],"prefix":"10.12890","author":[{"family":"Carlos Couto","sequence":"first","affiliation":[{"name":"Pulmonology Department, Garcia de Orta Hospital, Almada, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Pedro Pereira","sequence":"additional","affiliation":[{"name":"Neurology Department, Garcia de Orta Hospital, Almada, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Ana Catarina Moreira","sequence":"additional","affiliation":[{"name":"Pulmonology Department, Garcia de Orta Hospital, Almada, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Vic\u00eancia Ribeiro","sequence":"additional","affiliation":[{"name":"Pulmonology Department, Garcia de Orta Hospital, Almada, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Jos\u00e9 Duarte","sequence":"additional","affiliation":[{"name":"Pulmonology Department, Garcia de Orta Hospital, Almada, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10397","published-online":{"date-parts":[[2020,1,30]]},"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"deposited":{"date-parts":[[2021,5,25]],"date-time":"2021-05-25T13:55:34Z","timestamp":1621950934000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/1258"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,30]]},"references-count":0,"journal-issue":{"issue":"Vol 7 No 2","published-online":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.12890\/2020_001258","relation":{"has-manifestation":[{"id-type":"other","id":"1-55-1258-g1934","asserted-by":"subject"},{"id-type":"other","id":"1-55-1258-g1935","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-55","asserted-by":"subject"}]},"ISSN":["2284-2594"],"issn-type":[{"value":"2284-2594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,30]]},"article-number":"15"}}