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Sonographic evaluation of the diaphragm in patients with unilateral diaphragmatic paralysis

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주제분류신경과학

초록

Evaluation of diaphragm function is challenging because no single test has a high diagnostic yield. We describe ultrasound findings in three cases with acquired unilateral diaphragmatic elevation. These cases confirm that sonographic evaluation is a valid tool for identifying diaphragm dysfunction. In addition, ultrasound measurements of diaphragm thickness and the contractility can be used to determine if a diaphragm is paralyzed and suggest the duration of paralysis (i.e., acute or chronic).

Abstract

Evaluation of diaphragm function is challenging because no single test has a high diagnostic yield. We describe ultrasound findings in three cases with acquired unilateral diaphragmatic elevation. These cases confirm that sonographic evaluation is a valid tool for identifying diaphragm dysfunction. In addition, ultrasound measurements of diaphragm thickness and the contractility can be used to determine if a diaphragm is paralyzed and suggest the duration of paralysis (i.e., acute or chronic).

참고문헌 (7)

  1. Sarwal A, "Neuromuscular ultrasound for evaluation of the diaphragm", Muscle Nerve, 47, pp.319~329 (2013)[DOI]
  2. Markand ON, "Electrophysiologic evaluation of diaphragm by transcutaneous phrenic nerve stimulation", Neurology, 34, pp.604~614 (1984)[DOI]
  3. 석정임, "Ultrasonographic findings of the normal diaphragm: thickness and contractility", Annals of Clinical Neurophysiology, 19(2), pp.131~135 (2017), 대한임상신경생리학회
  4. Baldwin CE, "Diaphragm and peripheral muscle thickness on ultrasound: intra-rater reliability and variability of a methodology using non-standard recumbent positions", Respirology, 16, pp.1136~1143 (2011)[DOI]
  5. Boon AJ, "Two-dimensional ultrasound imaging of the diaphragm: quantitative values in normal subjects", Muscle Nerve, 47, pp.884~889 (2013)[DOI]
  6. Gottesman E, "Ultrasound evaluation of the paralyzed diaphragm", Am J Respir Crit Care Med, 155, pp.1570~1574 (1997)[DOI]
  7. Summerhill EM, "Monitoring recovery from diaphragm paralysis with ultrasound", Chest, 133, pp.737~743 (2008)[DOI]

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