6533b854fe1ef96bd12aec98

RESEARCH PRODUCT

Diaphragmatic paralysis following minor cervical trauma.

Esteban J. MorcilloJulio CortijoMiguel ÁNgel Merino-ramírezGustavo JuanMercedes Ramón

subject

AdultMaleManipulation SpinalOrthopneamedicine.medical_specialtyPhysiologyNeural ConductionDiaphragmatic breathingNeurological disorderDiaphragmatic paralysisAsymptomaticPhrenic Nerve InjuryFunctional LateralityCellular and Molecular NeurosciencePhysiology (medical)medicineParalysisReaction TimeHumansSpinal Cord InjuriesPhrenic nerveAgedbusiness.industrymedicine.diseaseRespiratory ParalysisAsthmaSurgeryPhrenic NerveFemaleNeurology (clinical)medicine.symptombusinessFollow-Up Studies

description

Two asthmatic patients developed unilateral diaphragmatic paralysis from phrenic nerve injury, in one case following cervical chiropractic manipulation and in the other after a motorcycle accident. Both presented with increased dyspnea and orthopnea. Diagnosis, severity, and level of the lesion were established by neurophysiological methods, which are preferred to chest radiography and diaphragmatic ultrasonography. In spite of only partial electrophysiological recovery of the nerve, both patients were asymptomatic 1 year later.

10.1002/mus.20754https://pubmed.ncbi.nlm.nih.gov/17299741