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Full Text Journal Articles about
Diaphragmatic Paralysis

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Brief Communication: Immune Checkpoint Inhibitor-induced Diaphragmatic Dysfunction: A Case Series.

William J Archibald, Dagny K Anderson, Thomas J Breen, Karl R Sorenson, Svetomir N Markovic, Lori A Blauwet,

Diaphragmatic dysfunction is a rare cause of dyspnea that can lead to hypercapnic respiratory failure. A variety of causes of diaphragmatic dysfunction have been identified, including myopathies and neuropathies, the latter of which can be further subdivided into infectious, idiopathic, demyelinating, malignant, and iatrogenic etiologies. Now, in the era of ... Read more >>

J. Immunother. (Journal of immunotherapy (Hagerstown, Md. : 1997))
[2020, 43(3):104-106]

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Lyme disease and hemi-diaphragmatic paralysis: A case report and review of literature.

Abhimanyu Aggarwal, Denzil Reid, Durane Walker,

Borrelia burgdorferi is a spirochete that can cause Lyme disease from an infected tick bite causing a myriad of syndromes ranging from erythema migrans to oligoarticular arthritis and/or atrioventricular conduction block in the heart. It can also infect the central nervous system (CNS) and peripheral nervous system (PNS) causing cranial ... Read more >>

IDCases (IDCases)
[2020, 20:e00730]

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The efficacy of diaphragmatic plication in patients with unilateral diaphragmatic paralysis; a two-centre experience

Mohamed Ibrahim, Alaa Rashad, Hamed Elgendy, Morris Beshay,

<title>Abstract</title> <p> Background and objective: Diaphragm is not an uncommon problem. is the most presenting in most of the cases. In this study, we used diaphragm (DUS) and to evaluate the outcome of post-surgical diaphragmatic plication (SDP) in adults with unilateral diaphragmatic paralysis (UDP). To our knowledge, no ... Read more >>

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Unilateral temporary diaphragmatic paralysis secondary to bronchial artery embolization in a girl with cystic fibrosis and massive hemoptysis: a case report.

V Terlizzi, M Botti, G Gabbani, F Fanelli, M De Martino, G Taccetti,

BACKGROUND:Massive hemoptysis is a serious complication in Cystic Fibrosis (CF), occurring commonly in older patients. Bronchial artery embolization (BAE) can be performed to stop the bleeding. BAE is generally safe and effective, but can sometimes lead to serious complications. We report the first case of temporary unilateral diaphragmatic paralysis associated ... Read more >>

BMC Pulm Med (BMC pulmonary medicine)
[2020, 20(1):38]

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Incidence and predictive factors of diaphragmatic dysfunction in acute stroke.

José Vicente Catalá-Ripoll, José Ángel Monsalve-Naharro, Francisco Hernández-Fernández,

BACKGROUND:The most characteristic clinical signs of stroke are motor and/or sensory involvement of one side of the body. Respiratory involvement has also been described, which could be related to diaphragmatic dysfunction contralateral to the brain injury. Our objective is to establish the incidence of diaphragmatic dysfunction in ischaemic stroke and ... Read more >>

BMC Neurol (BMC neurology)
[2020, 20(1):79]

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Ultrasonographic postoperative evaluation of diaphragm function of patients with congenital heart defects.

Erkut Öztürk, İbrahim Cansaran Tanıdır, Okan Yıldız, Bekir Yükçü, Servet Ergün, Sertaç Haydın, Alper Güzeltaş,

Background:This study aims to investigate the role of ultrasonography in the postoperative evaluation of diaphragm function in patients with congenital heart defect. Methods:This prospective study included a total of 360 patients (176 males, 184 females; mean age 2 years; range, 1 month to 8 years) who underwent congenital heart surgery ... Read more >>

Turk Gogus Kalp Damar Cerrahisi Derg (Turk gogus kalp damar cerrahisi dergisi)
[2020, 28(1):70-75]

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Hemidiaphragmatic paralysis following ultrasound-guided anterior vs. posterior suprascapular nerve block: a double-blind, randomised control trial.

F Ferré, M Pommier, P Laumonerie, A Ferrier, R Menut, L Bosch, V Balech, N Bonnevialle, V Minville,

Interscalene brachial plexus block provides analgesia for shoulder surgery but is associated with hemidiaphragmatic paralysis. Before considering a combined suprascapular and axillary nerve block as an alternative to interscalene brachial plexus block, evaluation of the incidence of diaphragmatic dysfunction according to the approach to the suprascapular nerve is necessary. We ... Read more >>

Anaesthesia (Anaesthesia)
[2020, 75(4):499-508]

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Magnetic Resonance Imaging of the Diaphragm: From Normal to Pathologic Findings.

Giuseppe Cicero, Silvio Mazziotti, Alfredo Blandino, Francesca Granata, Michele Gaeta,

The diaphragm is a musculotendinous structure that divides the chest from the abdomen. Its motility, unintentional or voluntary, is crucial for the physiologic respiratory function due to its contribution to lung volume expansion and contraction. Therefore, diaphragmatic dysfunction may cause a respiratory failure without any pathology of the lungs. Different ... Read more >>

J Clin Imaging Sci (Journal of clinical imaging science)
[2020, 10:1]

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Crotalus oreganus concolor: Envenomation Case with Venom Analysis and a Diagnostic Conundrum of Myoneurologic Symptoms.

Daniel E Keyler, Vinay Saini, Mark O'Shea, Jeff Gee, Cara F Smith, Stephen P Mackessy,

A case of midget-faded rattlesnake (Crotalus oreganus concolor) envenomation of an adult male professional herpetologist occurred in a rural setting and resulted in an array of venom induced myoneurologic symptoms. The patient experienced blurry vision, total body paresthesia, dyspnea, chest tightness, and waves of spastic muscle movements of the hands ... Read more >>

Wilderness Environ Med (Wilderness & environmental medicine)
[2020, :]

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Integrated Chinese and Western Medicine for Acute Guillain-barré Syndrome Treatment.

Liu Yang, Xiumin Zhao,

Introduction:Guillain-Barré syndrome (GBS) is a worldwide demyelinating polyradiculopathy and polyneuropathy. Currently, there is no specific drug for GBS, and established treatment is generally based on immune-modulating treatment with plasma exchange or intravenous immunoglobulin in combination with supportive care. This study aimed to investigate the efficiency of integrated Chinese and Western ... Read more >>

Transl Neurosci (Translational neuroscience)
[2020, 11:38-47]

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Chilaiditi sign in a plain abdominal X-ray - why is it worth remembering?

Dominik A Walczak, Paulina Walczak, Beata Pawłowska, Marek Czarnecki, Michał Wojtyniak,

Prz Gastroenterol (Przeglad gastroenterologiczny)
[2020, 15(1):82-83]

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Respiratory muscle ultrasonography: methodology, basic and advanced principles and clinical applications in ICU and ED patients-a narrative review.

Pieter R Tuinman, Annemijn H Jonkman, Martin Dres, Zhong-Hua Shi, Ewan C Goligher, Alberto Goffi, Chris de Korte, Alexandre Demoule, Leo Heunks,

Respiratory muscle ultrasound is used to evaluate the anatomy and function of the respiratory muscle pump. It is a safe, repeatable, accurate, and non-invasive bedside technique that can be successfully applied in different settings, including general intensive care and the emergency department. Mastery of this technique allows the intensivist to ... Read more >>

Intensive Care Med (Intensive care medicine)
[2020, 46(4):594-605]

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Robotic thymectomy for advanced thymic epithelial tumor: indications and technical aspects.

Kwon Joong Na, Chang Hyun Kang,

Robotic thymectomy is widely accepted as a valuable treatment option for surgical resection of thymic epithelial tumor as minimally invasive surgery has shown better early clinical outcomes than open surgery. Technical advances in robotic surgery have expanded the indications for robotic thymectomy, and the technique can be used to perform ... Read more >>

J Thorac Dis (Journal of thoracic disease)
[2020, 12(2):63-69]

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Successful treatment of a 12-year-old boy with Guillain-Barré syndrome requiring tracheostomy due to respiratory muscle paralysis: A case report.

Manabu Miyamoto, George Imataka, Go Ichikawa, Yutaka Saito, Takashi Kashiwagi, Yoshiyuki Kaji, Koji Wake, Kei Funakoshi, Takahide Nagashima, Norito Kokubun, Shigemi Yoshihara,

Childhood Guillain-Barré syndrome (GBS) occasionally leads to respiratory failure early after onset, requiring long-term ventilation management after tracheal intubation. However, patients requiring tracheostomy management are rare. In the present study, a case of a 12-year-old boy with GBS who required artificial respiration management due to rapid progression of respiratory muscle ... Read more >>

Exp Ther Med (Experimental and therapeutic medicine)
[2020, 19(2):1091-1094]

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Phrenic nerve neurotization utilizing half of the spinal accessory nerve to the functional restoration of the paralyzed diaphragm in high spinal cord injury secondary to brain tumor resection.

Antonio Heredia Gutiérrez, Gabriel Emmanuel Cachón Cámara, Vicente González Carranza, Samuel Torres García, Fernando Chico Ponce de León,

The authors present a case of functional improvement of diaphragmatic paralysis in high spinal cord injury, performing a neurotization of the phrenic nerve with accessory spinal nerve hemisection. A C1-C2 injury of the spinal cord was diagnosed in a 12-year-old male, secondary to resection of a brainstem glioma. The patient ... Read more >>

Childs Nerv Syst (Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery)
[2020, :]

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Symptomatic treatment of botulism with a clinically approved small molecule.

Edwin Vazquez-Cintron, James Machamer, Celinia Ondeck, Kathleen Pagarigan, Brittany Winner, Paige Bodner, Kyle Kelly, M Ross Pennington, Patrick McNutt,

Botulinum neurotoxins (BoNTs) are potent neuroparalytic toxins that cause mortality through respiratory paralysis. The approved medical countermeasure for BoNT poisoning is infusion of antitoxin immunoglobulins. However, antitoxins have poor therapeutic efficacy in symptomatic patients; thus, there is an urgent need for treatments that reduce the need for artificial ventilation. We ... Read more >>

JCI Insight (JCI insight)
[2020, 5(2):]

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Transforming growth factor-β plasma levels and its role in amyotrophic lateral sclerosis.

Tatiana Duque, Marta Gromicho, Ana Catarina Pronto-Laborinho, Mamede de Carvalho,

Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease characterized by progressive muscle paralysis. Respiratory complications are the main cause of death in ALS. For this reason, initial respiratory status and its decline over disease progression are strong independent predictors of survival. Riluzole, a glutamatergic neurotransmission inhibitor, is the only drug ... Read more >>

Med. Hypotheses (Medical hypotheses)
[2020, 139:109632]

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Tracheal, Lung, and Diaphragmatic Applications of M-Mode Ultrasonography in Anesthesiology and Critical Care.

Gabriel Prada, Antoine Vieillard-Baron, Archer K Martin, Antonio Hernandez, Farouk Mookadam, Harish Ramakrishna, Jose L Diaz-Gomez,

Today, proficiency in cardiopulmonary ultrasound is considered essential for anesthesiologists and critical care physicians. Conventional 2-dimensional images, however, do not permit optimal characterization of specific conditions (eg, diaphragmatic paralysis, major atelectasis, and pneumothorax) that may have relevant clinical implications in critical care and perioperative settings. By contrast, M-mode (motion-based) ultrasonographic ... Read more >>

J. Cardiothorac. Vasc. Anesth. (Journal of cardiothoracic and vascular anesthesia)
[2019, :]

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Assisted mechanical ventilation promotes recovery of diaphragmatic thickness in critically ill patients: a prospective observational study.

Alice Grassi, Daniela Ferlicca, Ermes Lupieri, Serena Calcinati, Silvia Francesconi, Vittoria Sala, Valentina Ormas, Elena Chiodaroli, Chiara Abbruzzese, Francesco Curto, Andrea Sanna, Massimo Zambon, Roberto Fumagalli, Giuseppe Foti, Giacomo Bellani,

BACKGROUND:Diaphragm atrophy and dysfunction are consequences of mechanical ventilation and are determinants of clinical outcomes. We hypothesize that partial preservation of diaphragm function, such as during assisted modes of ventilation, will restore diaphragm thickness. We also aim to correlate the changes in diaphragm thickness and function to outcomes and clinical ... Read more >>

Crit Care (Critical Care)
[2020, 24(1):85]

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Master of the Masquerade: An Atypical Presentation of Acute Aortic Dissection.

Ramy Mando, Daniel Tim, Anthony DeCicco, Justin Trivax, Ivan Hanson,

Acute aortic dissection (AAD) is associated with unacceptably high mortality rate. As such, early diagnosis and aggressive management are essential in order to avoid life-threatening complications. Herein, we report an atypical presentation of AAD and clinical sequelae. ... Read more >>

Case Rep Cardiol (Case reports in cardiology)
[2020, 2020:5743985]

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[Hemidiaphragmatic paralysis after ultrasound-guided supraclavicular block: a prospective cohort study].

Fabrice Ferré, Jean-Mathieu Mastantuono, Charlotte Martin, Anne Ferrier, Philippe Marty, Pierre Laumonerie, Nicolas Bonnevialle, Vincent Minville,

BACKGROUND AND OBJECTIVES:The frequent onset of hemidiaphragmatic paralysis during interscalene block restricts its use in patients with respiratory insufficiency. Supraclavicular block could be a safe and effective alternative. Our primary objective was to assess the incidence of hemidiaphragmatic paralysis following ultrasound-guided supraclavicular block and compare it to that of interscalene ... Read more >>

Rev Bras Anestesiol (Revista brasileira de anestesiologia)
[2019, 69(6):580-586]

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Stapled Diaphragmatic Plication: Is It Better Than Suture Plication?

Terra M Hill, Osita Onugha,

Diaphragm dysfunction, which can be due to eventration or an abnormally high-positioned diaphragm, can cause respiratory compromise. Eventration is most commonly due to unilateral diaphragm paralysis, which reduces ventilatory function in adults by about 25%. Since the 1920s, this condition has been treated with diaphragm plication, which itself has evolved ... Read more >>

Surg Technol Int (Surgical technology international)
[2020, 36:]

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Automated Noncontact Ultrasound Imaging and Ablation System for the Treatment of Atrial Fibrillation: Outcomes of the First-in-Human VALUE Trial.

Mohit K Turagam, Jan Petru, Petr Neuzil, Ken Kakita, Stepan Kralovec, David Harari, Patrick Phillips, Danielo Piazza, William Whang, Srinivas R Dukkipati, Vivek Y Reddy,

BACKGROUND:Catheter ablation for atrial fibrillation (AF) using point-by-point radiofrequency energy or single-application one-shot balloons is either technically challenging or have limited ability to accommodate variable patient anatomy to achieve acute and durable pulmonary vein (PV) isolation. A novel ablation system employs low intensity collimated ultrasound (LICU)-guided anatomic mapping and robotic ... Read more >>

Circ Arrhythm Electrophysiol (Circulation. Arrhythmia and electrophysiology)
[2020, 13(3):e007917]

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Diaphragmatic paralysis: Evaluation in infants with congenital Zika syndrome.

Vanessa van der Linden, Otavio Gomes Lins, Natacha Calheiros de Lima Petribu, Ana Claudia Marques Gouveia de Melo, Jazmyn Moore, Sonja A Rasmussen, Cynthia A Moore,

BACKGROUND:Paralysis of the diaphragm in newborn infants can lead to recurrent infections and life-threatening respiratory insufficiency. The clinical diagnosis of unilateral diaphragmatic paralysis has been reported in infants with laboratory evidence of congenital Zika virus infection and/or the congenital Zika syndrome (CZS) phenotype but no evaluation of phrenic nerve function ... Read more >>

Birth Defects Res (Birth defects research)
[2019, 111(19):1577-1583]

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Respiratory Mechanics and Diaphragmatic Dysfunction in COPD Patients Who Failed Non-Invasive Mechanical Ventilation.

Alessandro Marchioni, Roberto Tonelli, Riccardo Fantini, Luca Tabbì, Ivana Castaniere, Francesco Livrieri, Sabrina Bedogni, Valentina Ruggieri, Lara Pisani, Stefano Nava, Enrico Clini,

Background:Although non-invasive mechanical ventilation (NIV) is the gold standard treatment for patients with acute exacerbation of COPD (AECOPD) developing respiratory acidosis, failure rates still range from 5% to 40%. Recent studies have shown that the onset of severe diaphragmatic dysfunction (DD) during AECOPD increases risk of NIV failure and mortality ... Read more >>

Int J Chron Obstruct Pulmon Dis (International Journal of Chronic Obstructive Pulmonary Disease)
[2019, 14:2575-2585]

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