Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/103948
Type: Artigo de periódico
Title: Idiopathic Bilateral Diaphragmatic Paresis [paresia Diafragmática Bilateral Idiopática]
Author: Pereira M.C.
Mussi R.F.M.
Massucio R.A.D.C.
Camino A.M.
Barbeiro A.D.S.
Villalba W.D.O.
Paschoal I.A.
Abstract: We report the case of a patient with severe dyspnea upon reclining. Lung disease, neuromuscular disorders and heart disease were ruled out. However, during the course of the investigation, bilateral diaphragmatic paresis was discovered. A key sign leading to the diagnosis was evidence of paradoxical respiration in the dorsal decubitus position. When the patient was moved from the orthostatic position to the dorsal decubitus position, oxygenation and forced vital capacity worsened. The orthostatic fluoroscopy was normal. Maximal inspiratory pressure was severely reduced. The responses to transcutaneous electric stimulation of the diaphragm were normal. However, electric stimulation of the phrenic nerve produced no response, leading to the diagnosis of bilateral diaphragmatic paresis.
Editor: 
Rights: aberto
Identifier DOI: 10.1590/S1806-37132006001300017
Address: http://www.scopus.com/inward/record.url?eid=2-s2.0-33846882179&partnerID=40&md5=bfa6ef734986c0d3114dadf047c4d854
Date Issue: 2006
Appears in Collections:Unicamp - Artigos e Outros Documentos

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