Annals of Clinical Neurophysiology

The Korean Society of Clinical Neurophysiology (대한임상신경생리학회)
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Sonographic evaluation of the diaphragm in patients with unilateral diaphragmatic paralysis

  • Seok, Jung Im (Department of Neurology, Catholic University of Daegu School of Medicine) ;
  • Kim, Kyung Chan (Department of Internal Medicine, Catholic University of Daegu School of Medicine) ;
  • Rha, Hye Joo (Department of Neurology, Catholic University of Daegu School of Medicine) ;
  • Lee, Sung Rok (Department of Neurology, Catholic University of Daegu School of Medicine)
  • Received : 2018.03.06
  • Accepted : 2018.05.16
  • Published : 2018.07.31
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Abstract

Evaluation of diaphragm function is challenging because no single test has a high diagnostic yield. We describe ultrasound findings in three cases with acquired unilateral diaphragmatic elevation. These cases confirm that sonographic evaluation is a valid tool for identifying diaphragm dysfunction. In addition, ultrasound measurements of diaphragm thickness and the contractility can be used to determine if a diaphragm is paralyzed and suggest the duration of paralysis (i.e., acute or chronic).

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References

  1. Sarwal A, Walker FO, Cartwright MS. Neuromuscular ultrasound for evaluation of the diaphragm. Muscle Nerve 2013;47:319-329. https://doi.org/10.1002/mus.23671
  2. Markand ON, Kincaid JC, Pourmand RA, Moorthy SS, King RD, Mahomed Y, et al. Electrophysiologic evaluation of diaphragm by transcutaneous phrenic nerve stimulation. Neurology 1984;34:604-614. https://doi.org/10.1212/WNL.34.5.604
  3. Seok JI, Kim SY, Walker FO, Kwak SG, Kwon DH. Ultrasonographic findings of the normal diaphragm: thickness and contractility. Ann Clin Neurophysiol 2017;19:131-135. https://doi.org/10.14253/acn.2017.19.2.131
  4. Baldwin CE, Paratz JD, Bersten AD. Diaphragm and peripheral muscle thickness on ultrasound: intra-rater reliability and variability of a methodology using non-standard recumbent positions. Respirology 2011;16:1136-1143. https://doi.org/10.1111/j.1440-1843.2011.02005.x
  5. Boon AJ, Harper CJ, Ghahfarokhi LS, Strommen JA, Watson JC, Sorenson EJ. Two-dimensional ultrasound imaging of the diaphragm: quantitative values in normal subjects. Muscle Nerve 2013;47:884-889. https://doi.org/10.1002/mus.23702
  6. Gottesman E, McCool FD. Ultrasound evaluation of the paralyzed diaphragm. Am J Respir Crit Care Med 1997;155:1570-1574. https://doi.org/10.1164/ajrccm.155.5.9154859
  7. Summerhill EM, El-Sameed YA, Glidden TJ, McCool FD. Monitoring recovery from diaphragm paralysis with ultrasound. Chest 2008;133:737-743. https://doi.org/10.1378/chest.07-2200

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  1. Ultrasound Imaging of the Diaphragm vol.39, pp.4, 2018, https://doi.org/10.17340/jkna.2021.4.2