Ultrasonographic evaluation of the diaphragm in patients with amyotrophic lateral sclerosis

Autor: Fumiyuki Takahashi, Yoshinosuke Fukuchi, Yasuko Yoshioka, Mitsuaki Sekiya, Jun Ueki, Akihiko Ohwada
Rok vydání: 2007
Předmět:
Zdroj: Respirology. 12:304-307
ISSN: 1440-1843
1323-7799
DOI: 10.1111/j.1440-1843.2006.01029.x
Popis: Real-time diaphragmatic movement was evaluated with ultrasonography in three patients with amyotrophic lateral sclerosis (ALS). The initial complaint of two patients was weakness of the extremities followed by dyspnoea later in the disease course, while the third patient had dyspnoea as the initial symptom. Ultrasonographic analyses revealed that the contractile function of the diaphragm was not maintained during maximum inspiratory effort, with unsatisfactory diaphragmatic excursion and no change in diaphragmatic thickness during respiration, indicating diaphragmatic paralysis. Ultrasonography may be useful for the diagnosis and follow up of diaphragmatic involvement with amyotrophic lateral sclerosis and other motor-neuron diseases.
Databáze: OpenAIRE