Document Detail

Diaphragmatic paralysis in a patient with spinal cord infarction.
MedLine Citation:
PMID:  19797834     Owner:  NLM     Status:  MEDLINE    
This report describes the rare case of a 72-year-old woman with spinal cord infarction who presented with persistent diaphragmatic paralysis. Her neurological examination showed tetraplegia, sensory loss to pain and thermal stimulations, and paradoxical abdominal movement. Chest X-ray and diaphragmatic fluoroscopy revealed absent diaphragmatic movement. A cervical magnetic resonance image showed bilateral anterior spinal cord lesions from the level of the second to the fifth cervical vertebrae. Diaphragmatic paralysis should be recognized as a clinical sign of cervical spinal cord infarction. Particular attention must be given to paradoxical abdominal movement during respiration in this disorder.
Hideyuki Matsumoto; Takahiro Nakayama; Hirotoshi Hamaguchi; Tomoki Nakamori; Takashi Ikagawa; Tetsuya Oda; Ichiro Imafuku
Related Documents :
11387144 - Scoliosis in children: surgical management and postoperative radiographic appearances.
9543614 - Magnetic resonance imaging of the whole spine in suspected malignant spinal cord compre...
7371244 - Computerized tomographic assessment of the traumatized dorsolumbar spine before and aft...
3871144 - Transdiaphragmatic extension of invasive thymoma.
7993264 - After-hours radiology.
7824234 - Perineal ultrasound for evaluating the bladder neck in urinary stress incontinence.
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-10-01
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  48     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2009  
Date Detail:
Created Date:  2009-10-02     Completed Date:  2009-12-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1763-6     Citation Subset:  IM    
Department of Neurology, Yokohama Rosai Hospital, Yokohama.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Cervical Vertebrae
Fibrinolytic Agents / therapeutic use
Infarction / complications*,  diagnosis,  drug therapy
Magnetic Resonance Imaging
Positive-Pressure Respiration
Respiratory Insufficiency / etiology,  therapy
Respiratory Paralysis / etiology*,  therapy
Spinal Cord / blood supply*
Reg. No./Substance:
0/Fibrinolytic Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Distal myopathy in multi-minicore disease.
Next Document:  An outbreak of aseptic meningitis due to echovirus 30 in a high school baseball club--possible role ...