Neuralgic Amyotrophy: A Rare Cause of Bilateral Diaphragmatic Paralysis

Neuralgic amyotrophy, also known as brachial neuritis, is a well described clinical entity. Diaphragmatic dysfunction, as a result of phrenic nerve root involvement (cervical roots 3 to 5), is an uncommon, but increasingly recognized association. The case of a previously healthy 61-year-old woman wh...

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Main Authors: Neil Shinder, Alasdair Polson, Elizabeth Pringle, Denis E O'Donnell
Format: Article
Language:English
Published: Wiley 1998-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/1998/926375
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author Neil Shinder
Alasdair Polson
Elizabeth Pringle
Denis E O'Donnell
author_facet Neil Shinder
Alasdair Polson
Elizabeth Pringle
Denis E O'Donnell
author_sort Neil Shinder
collection DOAJ
description Neuralgic amyotrophy, also known as brachial neuritis, is a well described clinical entity. Diaphragmatic dysfunction, as a result of phrenic nerve root involvement (cervical roots 3 to 5), is an uncommon, but increasingly recognized association. The case of a previously healthy 61-year-old woman who, after a prodrome of neck and shoulder discomfort, presented with severe orthopnea is described. Pulmonary function and electrophysiological studies led to a diagnosis of bilateral diaphragmatic paralysis. The patient's clinical course and the exclusion of other nerve entrapment syndromes and neurological disorders strongly favoured the diagnosis of neuralgic amyotrophy.
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spelling doaj-art-51ad52c5bb5a4db8abc2fd0011f056e52025-08-20T02:05:16ZengWileyCanadian Respiratory Journal1198-22411998-01-015213914210.1155/1998/926375Neuralgic Amyotrophy: A Rare Cause of Bilateral Diaphragmatic ParalysisNeil Shinder0Alasdair Polson1Elizabeth Pringle2Denis E O'Donnell3Division of Respiratory and Critical Care Medicine, Queen’s University, Kingston and Division of Neurology, University of Ottawa, Ottawa, Ontario, CanadaDivision of Respiratory and Critical Care Medicine, Queen’s University, Kingston and Division of Neurology, University of Ottawa, Ottawa, Ontario, CanadaDivision of Respiratory and Critical Care Medicine, Queen’s University, Kingston and Division of Neurology, University of Ottawa, Ottawa, Ontario, CanadaDivision of Respiratory and Critical Care Medicine, Queen’s University, Kingston and Division of Neurology, University of Ottawa, Ottawa, Ontario, CanadaNeuralgic amyotrophy, also known as brachial neuritis, is a well described clinical entity. Diaphragmatic dysfunction, as a result of phrenic nerve root involvement (cervical roots 3 to 5), is an uncommon, but increasingly recognized association. The case of a previously healthy 61-year-old woman who, after a prodrome of neck and shoulder discomfort, presented with severe orthopnea is described. Pulmonary function and electrophysiological studies led to a diagnosis of bilateral diaphragmatic paralysis. The patient's clinical course and the exclusion of other nerve entrapment syndromes and neurological disorders strongly favoured the diagnosis of neuralgic amyotrophy.http://dx.doi.org/10.1155/1998/926375
spellingShingle Neil Shinder
Alasdair Polson
Elizabeth Pringle
Denis E O'Donnell
Neuralgic Amyotrophy: A Rare Cause of Bilateral Diaphragmatic Paralysis
Canadian Respiratory Journal
title Neuralgic Amyotrophy: A Rare Cause of Bilateral Diaphragmatic Paralysis
title_full Neuralgic Amyotrophy: A Rare Cause of Bilateral Diaphragmatic Paralysis
title_fullStr Neuralgic Amyotrophy: A Rare Cause of Bilateral Diaphragmatic Paralysis
title_full_unstemmed Neuralgic Amyotrophy: A Rare Cause of Bilateral Diaphragmatic Paralysis
title_short Neuralgic Amyotrophy: A Rare Cause of Bilateral Diaphragmatic Paralysis
title_sort neuralgic amyotrophy a rare cause of bilateral diaphragmatic paralysis
url http://dx.doi.org/10.1155/1998/926375
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