Bilateral Diaphragmatic Paralysis in a Patient with Spinal Shock

Patients with spinal cord injury who does not respond well enough to fluid resuscitation therapies and blood transfusions may be at risk of spinal shock. Bilateral diaphragm paralysis is another life threatening condition and it is rarely seen in multiple trauma patients. Intrathoracic diaphragm pacing is a good choice for those if they are depended on mechanical ventilator. In this case, a 46 year old male construction worker is presented with diagnosis of spinal shock with severe spinal cord injury and bilateral diaphragm paralysis.