Document Detail


Diaphragmatic paralysis in a patient with spinal cord infarction.
MedLine Citation:
PMID:  19797834     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Hideyuki Matsumoto; Takahiro Nakayama; Hirotoshi Hamaguchi; Tomoki Nakamori; Takashi Ikagawa; Tetsuya Oda; Ichiro Imafuku
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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    
Affiliation:
Department of Neurology, Yokohama Rosai Hospital, Yokohama. hideyukimatsumoto@mail.goo.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Cervical Vertebrae
Female
Fibrinolytic Agents / therapeutic use
Humans
Infarction / complications*,  diagnosis,  drug therapy
Magnetic Resonance Imaging
Positive-Pressure Respiration
Respiratory Insufficiency / etiology,  therapy
Respiratory Paralysis / etiology*,  therapy
Spinal Cord / blood supply*
Tracheostomy
Chemical
Reg. No./Substance:
0/Fibrinolytic Agents

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


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