Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/197069
Type: Artigo de periódico
Title: Idiopathic Bilateral Diaphragmatic Paresis.
Author: Pereira, Mônica Corso
Mussi, Rodrigo Frange Miziara
Massucio, Reinaldo Alexandre de Carvalho
Camino, Ana Maria
Barbeiro, Aristóteles de Souza
Villalba, Wander de Oliveira
Paschoal, Ilma Aparecida
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.
Subject: Adult
Fluoroscopy
Humans
Magnetic Resonance Imaging
Male
Respiratory Function Tests
Respiratory Paralysis
Supine Position
Tomography, X-ray Computed
Rights: aberto
Identifier DOI: 
Address: http://www.ncbi.nlm.nih.gov/pubmed/17268754
Date Issue: -1-Uns- -1
Appears in Collections:Artigos e Materiais de Revistas Científicas - Unicamp

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