Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Volume  26 (2022)
Volume  25 (2021)
Volume  24 (2020)
Volume  23 (2019)
Volume  22 (2018)
Volume  21 (2017)
Volume  20 (2016)
Volume  19 (2015)
Volume  18 (2014)
Volume  17 (2013)
Volume  16 (2012)
Volume  15 (2011)
Volume  14 (2010)
Volume  13 (2009)
Volume  12 (2008)
Volume  11 (2007)
Volume  10 (2006)
Volume  9 (2005)
Volume  8 (2004)
Related articles

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: 01-03-2009

Copyright Statement:  Copyright © 2009; The Author(s).


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.

PDF Share
  1. Diaphragmatic elevation in stroke. Eur Neurol 1988;28:81-3.
  2. Impairment of central motor conduction to the diaphragm in stroke. Am J Respir Crit Care Med 1996;154:436-41.
  3. Assessment of corticodiaphragmatic pathway and pulmonary function in acute ischemic stroke patients. Eur J Neurol 2000;7:509-16.
  4. Localization of diaphragm motor cortical representation and determination of corticodiaphragmatic latencies by using magnetic stimulation in normal adult human subjects. Eur J Appl Physiol 2001;85:560-6.
  5. Motor cortical representation of the diaphragm in man. J Physiol 1991;443:105-21.
  6. German Stroke Date Bank Collaborators: Complications following acute ischemic stroke. Eur Neurol 2002;48:133-40.
  7. The effect of pneumonia on mortality among patients hospitalized for acute stroke. Neurology 2003;60:620-5.
  8. Distribution and course of cortico-respiratory projections for voluntary activation in man: A transcranial magnetic stimulation study in healthy subjects and patients with cerebral ischemia. J Neurol 2002;249:735-44.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.