Bilateral Phrenic Nerve Lesion Manifesting as an Orthopnea – Three Case Reports
Authors: E. Ehler, J. Latta, P. Vojtíšek, M. Mrklovský
Authors - sphere of activity: Pardubická krajská nemocnice, a.s.:
1Neurologická klinika FZS UPa,
2Kardiologické oddělení, Interní klinika FZS UPa,
3Radiodiagnostické oddělení
Article: Cesk Slov Neurol N 2012; 75/108(3): 368-372
Category: Case Report
Number of articles displayed: 347x
Summary
Orthopnea is a severe dyspnea occurring at supine position. In addition to internal and pulmonary etiology, orthopnea occurs in patients with respiratory muscle weakness. Acute onset of orthopnea on the basis of bilateral phrenic nerve lesion is the most frequently seen in patients with neuralgic amyotrophy. Clinically, there is paradoxical breathing with prominent worsening after lying down, so that the patient is urged to immediately sit down. Chest radiography and chest sonography, are the most important auxiliary examinations, followed by motor nerve conduction studies of phrenic nerves and needle electromyography of diaphragm. The authors describe case reports of three patients with severe bilateral phrenic nerve lesions on the basis of neuralgic amyotrophy.
Key words:
orthopnea – spirometry – phrenic nerve – electromyography – neuralgic amyotrophy
Notice
The full wording of this article is available only to registered users. Plese register and you can read this article immediately.
If you are a subscriber, log in and enter the subscriber code from your magazine cover.
If you are not a subscriber, log in for unlimited access to older editions.
Login
Registration
Odemknout článek:
Tento článek si můžete přečíst pokud si aktivujete Premium účet.
Subscription
Subscribe the JournalThe subscription grants you full access to all the articles.
Issue No.: 3 / 2013
Most read
- Creutzfeldt-Jacob disease | views: 126
- Spinocerebellar Ataxia 7 – a Case Report | views: 59
- Electrophysiological Examination of the Pelvic Floor | views: 49
- Ultrasound-guided Brain Cavernoma Surgery | views: 43
- Differences in the Modulation of Cortical Activity in Patients Suffering from Upper Arm Spasticity Following Stroke and Treated with Botulinum Toxin A | views: 34
- Torticollis at Grisel’s Syndrome – Case Reports | views: 30
- X-adrenoleukodystrophy | views: 26
- Significance and Limitations of Visual Evoked Potentials in the Study of Pathophysiology of Migraine | views: 25
- Evaluation of Epidemiological Stroke Data from the IKTA Register. Stroke Incidence in the Zlin District | views: 25
- The Role of a Neurootologist in Identification of Post-radiation Complications in Patients with Vestibular Schwannoma Treated with Leksell Gamma Knife | views: 19