증례]호흡곤란을 초기 증상으로 내원한 근육위축가쪽경화증 환자에서 침근전도검사 후 발생한 기흉
Pneumothorax Following Needle Electromyography in a Patient with Amyotrophic Lateral Sclerosis Who Presented with Respiartory Failure As an Initial Symptom
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We report a patient with amyotrophic lateral sclerosis (ALS) who developed a pneumothorax after needle electromyography (EMG), probably of the intercostal muscles. Needle EMG on intercostal muscles has a high risk of pneumothorax, not only because electromyographers are unfamiliar to its technique, but also due to its close anatomical location to the pleural cavity. In our patient, advanced intercostal muscle atrophy due to disease process would have increased the risk further.
Abstract
We report a patient with amyotrophic lateral sclerosis (ALS) who developed a pneumothorax after needle electromyography (EMG), probably of the intercostal muscles. Needle EMG on intercostal muscles has a high risk of pneumothorax, not only because electromyographers are unfamiliar to its technique, but also due to its close anatomical location to the pleural cavity. In our patient, advanced intercostal muscle atrophy due to disease process would have increased the risk further.
참고문헌 (10)
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