ORTHOPNEA: IT’S NOT THE HEART FAILURE THIS TIME; A RARE CASE OF IDIOPATHIC BILATERAL DIAPHRAGMATIC PARALYSIS
نویسندگان
چکیده
منابع مشابه
The prognosis in idiopathic diaphragmatic paralysis.
In the practice of thoracology the physician occasionally encounters a patient having complete paralysis of one of the hemidiaphragms. In some of these cases a detailed history and careful examination of the neck, thorax, and abdomen fail to disclose the cause of the disorder; such cases may be classified conveniently as “idiopathic.” A number of possible etiologic factors have been advanced in...
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In a patient who had a sudden onset of bilateral diaphragmatic paralysis after forceful neck manipulation complete, though gradual, recovery in lung function and transdiaphragmatic pressures was seen over three years. This is a previously unrecognised risk of neck osteopathy.
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1. The distribution of regional function in the lungs of six patient with bilateral diaphragmatic paralysis was investigated by continuous inhalation and infusion of the radioactive gases 81mKr and 85mKr during tidal breathing. 2. In the supine and right lateral decubitus postures the vertical distribution of ventilation per unit alveolar volume was less in the dependent zones, the reverse of t...
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A 68 yr old woman presented with acute respiratory failure. She was suspected of having a phrenic-diaphragmatic impairment, without evidence of an intrinsic lung disease or generalized neuromuscular disorder, after 3 weeks of prolonged mechanical ventilation. A series of studies, including fluoroscopy, phrenic nerve stimulation test and diaphragmatic electromyography, was performed before the d...
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ژورنال
عنوان ژورنال: Chest
سال: 2018
ISSN: 0012-3692
DOI: 10.1016/j.chest.2018.08.650