Diaphragmatic Paralysis in a Patient with Spinal Cord Infarction

• Matsumoto Hideyuki

  Department of Neurology, Yokohama Rosai Hospital

• Nakayama Takahiro

  Department of Neurology, Yokohama Rosai Hospital

• Hamaguchi Hirotoshi

  Department of Neurology, Yokohama Rosai Hospital

• Nakamori Tomoki

  Department of Neurology, Yokohama Rosai Hospital

• Ikagawa Takashi

  Department of Neurology, Yokohama Rosai Hospital

• Oda Tetsuya

  Department of Neurology, Yokohama Rosai Hospital

• Imafuku Ichiro

  Department of Neurology, Yokohama Rosai Hospital

抄録

This report describes the rare case of a 72-year-old woman with spinal cord infarction who presented with persistent diaphragmatic paralysis. Her neurological examination showed tetraplegia, sensory loss to pain and thermal stimulations, and paradoxical abdominal movement. Chest X-ray and diaphragmatic fluoroscopy revealed absent diaphragmatic movement. A cervical magnetic resonance image showed bilateral anterior spinal cord lesions from the level of the second to the fifth cervical vertebrae. Diaphragmatic paralysis should be recognized as a clinical sign of cervical spinal cord infarction. Particular attention must be given to paradoxical abdominal movement during respiration in this disorder.<br>

収録刊行物

• Internal Medicine

  Internal Medicine 48 (19), 1763-1766, 2009

  一般社団法人 日本内科学会

キーワード

• diaphragmatic paralysis
• phrenoplegia
• spinal cord infarction
• anterior spinal artery syndrome
• stroke
• respiratory failure

詳細情報

• CRID: 1390001204870149632
• NII論文ID: 130000122104
• DOI: 10.2169/internalmedicine.48.2334
• ISSN: 13497235
• ISSN: 09182918
• Web Site: http://www.jstage.jst.go.jp/article/internalmedicine/48/19/48_19_1763/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2010126696
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可