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Indian Journal of Critical Care Medicine
Medknow Publications on behalf of the Indian Society of Critical Care Medicine
ISSN: 0972-5229
EISSN: 1998-359x
Vol. 13, No. 1, 2009, pp. 28-30
Bioline Code: cm09007
Full paper language: English
Document type: Case Report
Document available free of charge

Indian Journal of Critical Care Medicine, Vol. 13, No. 1, 2009, pp. 28-30

 en Contralateral diaphragmatic palsy in acute stroke: An interesting observation
Kumar, Sudhir; Reddy, Rajesh & Prabhakar, Subhashini

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.

DOI: 10.4103/0972-5229.53113

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

 
© Copyright 2009 Indian Journal of Critical Care Medicine.
Alternative site location: http://www.ijccm.org/

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