Send to:

Choose Destination
See comment in PubMed Commons below
Ned Tijdschr Geneeskd. 2012;156(34):A4860.

[A man who could only sleep sitting].

[Article in Dutch]

Author information

  • 1Gelre Ziekenhuis, afd. Intensive Care, Apeldoorn, the Netherlands.


Bilateral diaphragm paralysis is a serious condition causing failure to sleep in the supine position and this condition often results into severe hypercapnia leading to respiratory failure. Here we describe two cases that required mechanical ventilation, and subsequently failed to respond to intermittent non-invasive ventilation. Subjects were successfully taken from mechanical ventilation after unilateral plication of a hemidiafragm and one of them further improved after plication of the contralateral paralysed diaphragm. Remarkably, decompression of the left lower lung lobe after 20 years of lobar atelectasis resulted in rapid improvement of ventilation and gas exchange.

[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Bohn Stafleu van Loghum
    Loading ...
    Write to the Help Desk