title: [For a better diagnostic strategy in idiopathic diaphragmatic paralysis].
abstract: The authors report a case of right-sided paralysis of the diaphragm which revealed a lung cancer extending to the mediastinum and involving the right phrenic nerve. This case underlines the limitations of thoracic imaging in case of phrenic nerve paralysis. It also demonstrates the value of early exploratory thoracotomy in all patients with allegedly "idiopathic" unilateral phrenic nerve paralysis.
authors.affiliation: Service de Pneumologie, Centre hospitalier régional, Amiens.
authors.forename: V
authors.initials: V
authors.lastname: Jounieaux
authors.forename: A
authors.initials: A
authors.lastname: Duran
authors.forename: P
authors.initials: P
authors.lastname: Aubry
authors.forename: A
authors.initials: A
authors.lastname: Remond
mesh_terms: D004452:Echocardiography; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications* / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010523:Peripheral Nervous System Diseases / Q000209:etiology; D010791:Phrenic Nerve; D013902:Radiography, Thoracic; D012133:Respiratory Paralysis / Q000209:etiology*; D014057:Tomography, X-Ray Computed
vernacular_title: Pour une meilleure stratégie diagnostique dans les paralysies diaphragmatiques "idiopathiques".