title: Bilateral diaphragmatic paralysis as a possible paraneoplastic syndrome from renal cell carcinoma.
abstract: Bilateral diaphragmatic paralysis is rare. We describe a patient with bilateral diaphragmatic paralysis who died 18 months after initial presentation and who was found to have renal cell carcinoma. At autopsy, no intrathoracic tumor was found that would explain the diaphragmatic paralysis. We believe that this may represent a paraneoplastic syndrome caused by renal cell carcinoma.
mesh_terms: D000231:Adenocarcinoma, Papillary / Q000150:complications* / Q000473:pathology; D004947:Esophagus / Q000503:physiopathology; D005071:Evoked Potentials; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D010257:Paraneoplastic Syndromes / Q000209:etiology* / Q000503:physiopathology; D010791:Phrenic Nerve / Q000503:physiopathology; D011312:Pressure; D011859:Radiography; D012133:Respiratory Paralysis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology; D013270:Stomach / Q000503:physiopathology