Ultrasonographic evaluation of the diaphragm in patients with amyotrophic lateral sclerosis
Autor: | Fumiyuki Takahashi, Yoshinosuke Fukuchi, Yasuko Yoshioka, Mitsuaki Sekiya, Jun Ueki, Akihiko Ohwada |
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Rok vydání: | 2007 |
Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Weakness Diaphragm Diaphragmatic breathing Diaphragmatic paralysis Severity of Illness Index Internal medicine Severity of illness Humans Medicine Amyotrophic lateral sclerosis Aged Ultrasonography business.industry Amyotrophic Lateral Sclerosis medicine.disease Surgery Diaphragm (structural system) Respiratory failure Respiratory Mechanics Cardiology Diaphragmatic excursion medicine.symptom business Follow-Up Studies Muscle Contraction |
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 |
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