Salary Reduction Simplified Employee Pension (SARSEP plans) A SARSEP is a SEP set up before 1997. Before 1997 an employee could choose (elect) to have an employer contribute part of his/her pay to a SEP-IRA. This contribution is called an elective deferral.
Symptoms depends on the pre existing cardiorespiratory status, the extent of paralysis, unilateral or bilateral and on the nature of the paralysis, acute or chronic. Some symptoms are distinct and should always raise the diagnosis of diaphragmatic paralysis.
It is most often due to a lesion of the phrenic nerve: 1  Mechanical trauma: ligation or damage to the nerve during surgery. 2  Compression: due to a tumour within the chest cavity. 3  Myopathies: such as myasthenia gravis. 4  Neuropathies: such diabetic neuropathy.