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VOLUME 13 , ISSUE 1 ( March, 2009 ) > List of Articles

CASE REPORT

Contralateral diaphragmatic palsy in acute stroke: An interesting observation

Sudhir Kumar, Subhashini Prabhakar, Rajesh Reddy

Keywords : Acute stroke, clinical implication, diaphragmatic palsy, pathophysiological basis

Citation Information : Kumar S, Prabhakar S, Reddy R. Contralateral diaphragmatic palsy in acute stroke: An interesting observation. Indian J Crit Care Med 2009; 13 (1):28-30.

DOI: 10.4103/0972-5229.53113

License: CC BY-ND 3.0

Published Online: 00-03-2009

Copyright Statement:  Copyright © 2009; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Diaphragmatic palsy in hemiparetic stroke is not well recognized. Further, its implications on stroke outcome have not been studied. Here, we report a patient with left-sided diaphragmatic palsy due to an acute right middle cerebral artery territory infarction. The diagnosis was suspected on finding an elevated dome of the diaphragm on the left side in a routine chest radiograph and was confirmed by finding decreased movements of the left hemidiaphragm on fluoroscopic examination. We hypothesize that this condition is probably under-recognized in clinical practice and its clinical importance not well known. The pathophysiological basis of diaphragmatic palsy in acute stroke and its possible clinical implications are discussed.


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