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Bilateral diaphragmatic weakness: a late complication of radiotherapy.
  1. P E Brander,
  2. V Järvinen,
  3. P Lohela,
  4. T Salmi
  1. Department of Pulmonary Diseases, Kiljava Hospital, Finland.


Brachial plexus neuropathy is an unfortunate complication that sometimes follows radiotherapy to the axillary and supraclavicular regions. A patient is described who, 30 years after radiotherapy for Hodgkin's disease and more than 10 years after the development of radiation-induced bilateral brachial plexus neuropathy, presented with bilateral diaphragmatic weakness secondary to bilateral phrenic nerve weakness. Previous radiotherapy was the most probable cause of the condition.

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