An electrophysiological study was carried out on four patients with unilateral diaphragmatic paralysis. Whereas neurogenic involvement of the paralysed hemidiaphragm was roughly similar in all cases, neurogenic patterns could be detected in the normally moving contralateral hemidiaphragm in three cases, and the degree of involvement could be correlated with the respiratory state of the patients. EMG also showed that the neuropathic process affected the limb muscles. Thus unilateral diaphragmatic paralysis may be, at least in some cases, the localised expression of a more diffuse neuropathy, perhaps a peculiar form of neuralgic amyotrophy.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC489048 | PMC |
| http://dx.doi.org/10.1136/jnnp.55.4.316 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Ovarian surface epithelial cancer (OSEC) are an entity in which, according to genomics and pathology data accumulated in the last couple of decades, several different nosological entities with distinct etiologies are aggregated. In ovarian cancer, surgery is the pivot of treatment, to which medical oncological treatment is added by recommendation in most cases. This is a single centre sample of 263 cases with OSEC operated from January 2014 until December 2021 with a 28-month period of follow-up, until 30th April 2024.
View Article and Find Full Text PDF[Electromagnetic stimulation in diaphragm dysfunction: repetitive peripheral magnetic stimulation as a method of choice during the rehabilitation period after stroke. (Literature review)].
Vopr Kurortol Fizioter Lech Fiz Kult
November 2024
M.F. Vladimirsky Moscow Regional Research and Clinical Institute, Moscow, Russia.
Unlabelled: Diaphragm dysfunction develops in central nervous system damage, chest injuries, complications of cardiac surgery, long-term artificial lung ventilation, respiratory diseases. Anatomical morphological features of phrenic nerves allow to effectively use electromagnetic stimulation methods for functional recovery of the diaphragm in different pathological conditions. Invasive and non-invasive, electric and magnetic methods of stimulation are used depending on the severity of manifestations of the diaphragm dysfunction and its genesis.
View Article and Find Full Text PDFSuperior trunk versus interscalene brachial plexus block in humerus surgery: a randomised controlled trial.
Anaesthesiol Intensive Ther
October 2024
All India Institute of Medical Sciences, Delhi, India.
Article Synopsis
- Ultrasound-guided interscalene (IS) block provides effective pain relief for shoulder surgeries but can lead to hemidiaphragmatic paralysis and breathing difficulties.
- This study compared the efficacy of a superior trunk (ST) block with the traditional IS block in patients undergoing humerus surgery, finding significantly lower rates of diaphragmatic paresis with the ST block.
- Both blocks offered similar pain relief and opioid usage post-surgery, but the ST block is recommended as a safer alternative for patients with breathing issues.
Diaphragmatic Dysfunction Following Endoscopic Coronary Artery Bypass Grafting in a Patient With Concomitant Sleep Disordered Breathing: A Case Report.
Cureus
September 2024
Department of Pulmonology, Louvain University Center for Sleep and Wake Disorders (LUCS), University Hospitals Leuven, Leuven, BEL.
Article Synopsis
- Unilateral diaphragmatic paralysis (UDP) often occurs after cardiac surgery, particularly on the left side, but this case highlights a rare instance of right-sided UDP following endoscopic coronary artery bypass grafting (CABG).
- A 60-year-old male patient was observed with breathing difficulties after his CABG, revealing diminished sounds in the right lung and a diagnosis of UDP and obstructive sleep apnoea syndrome (OSAS).
- The treatment plan included inspiratory muscle training and CPAP therapy to improve breathing and address the effects of OSAS, while also discussing the significance of ultrasound in diagnosing and monitoring diaphragmatic dysfunction post-surgery.
Early diagnosis and treatment management with USG in a patient who developed unilateral diaphragmatic paralysis after interscalene block.
Agri
January 2024
Department of Anesthesiology and Reanimation, Bezmialem Vakıf University Faculty of Medicine, İstanbul, Türkiye.
Article Synopsis
- Interscalene brachial plexus block is a common anesthetic method used for surgeries on the shoulder, clavicle, and humerus, but it carries risks of complications.
- A case report highlights a patient who experienced unilateral diaphragmatic paralysis after this anesthesia technique, which was quickly diagnosed and treated using ultrasound.
- The report emphasizes the growing importance of ultrasound in monitoring anesthesia practices and managing complications from nerve blocks.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!