en Neurology Neurology case report case report <span style="font-size:12pt"><span style="line-height:14pt"><span new="" roman="" style="font-family:" times=""><b><i><span style="font-size:10.0pt"><span style="color:blue">Background</span></span></i></b><i><span style="font-size:10.0pt"><span style="color:blue">:</span></span></i><span style="font-size:10.0pt"> Respiratory failure secondary to bilateral diabetic phrenic neuropathy is an uncommon clinical scenario. It is challenging to treat and often results in the need for long-term respiratory support.</span><span style="font-size:9.0pt"></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:14pt"><span new="" roman="" style="font-family:" times=""><b><i><span style="font-size:10.0pt"><span style="color:blue">Case Presentation</span></span></i></b><i><span style="font-size:10.0pt"><span style="color:blue">:</span></span></i> <span style="font-size:10.0pt">We report a patient with long standing diabetes mellitus (DM) who presented with respiratory failure requiring mechanical ventilation. He was subsequently found to have reduced phrenic nerve and diaphragm compound action potential amplitude bilaterally on nerve conduction studies.</span><i><span style="font-size:10.0pt"></span></i></span></span></span><br> <span style="font-size:12pt"><span style="line-height:14pt"><span new="" roman="" style="font-family:" times=""><b><i><span style="font-size:10.0pt"><span style="color:blue">Conclusion</span></span></i></b><i><span style="font-size:10.0pt"><span style="color:blue">:</span></span></i> <span style="font-size:10.0pt">Diabetic patients with unexplained shortness of breath should raise suspicion for diaphragmatic paresis from phrenic neuropathy.</span><b><i><span style="font-size:10.0pt"><span style="color:#0033cc"></span></span></i></b></span></span></span><br> &nbsp; Diabetic neuropathy, bilateral diabetic phrenic neuropathy, diaphragmatic paresis. 436 438 http://caspjim.com/browse.php?a_code=A-10-989-4&slc_lang=en&sid=1 Muhammad Talha Ayub talhaayubmd@gmail.com 100319475328460036297 100319475328460036297 No Internal Medicine, John H. Stroger, Jr. Hospital of Cook County, IL (complete form), Chicago, USA Tooba Ayub 100319475328460036298 100319475328460036298 No Internal Medicine, John H. Stroger, Jr. Hospital of Cook County, IL (complete form), Chicago, USA Wajeeha Rasool 100319475328460036299 100319475328460036299 No Internal Medicine, AMITA Health Saint Francis Hospital, Evanston, IL (complete form), Evanston, USA Muhammad Shoaib Khan MShoaibKhanAimc@gmail.com 100319475328460036300 100319475328460036300 Yes Internal Medicine, Marshfield Clinic Health System, Marshfield, Wisconsin, USA Muhammad Ishaq 100319475328460036301 100319475328460036301 No Internal Medicine, Marshfield Clinic Health System, Marshfield, Wisconsin, USA Benjamin Mba 100319475328460036302 100319475328460036302 No Internal Medicine, John H. Stroger, Jr. Hospital of Cook County, IL (complete form), Chicago, USA