Abstract | BACKGROUND: CASE REPORT: A 55-year-old male presented with orthopnea and aphonia after an episode of bilateral shoulder pain preceded by an upper respiratory tract infection. Spirometry, chest X-ray and videolaryngoscopy revealed bilateral and simultaneous paresis of the diaphragm and the vocal cords. Clinical examination at admission and at the 2-month follow-up did not show upper limb weakness or atrophy, except for a mild atrophy of the right supraspinatus muscle. An electromyography of the upper limb muscles and nerve conduction studies did not reveal signs of denervation. Analysis of the cerebrospinal fluid and an MRI of the neuraxis were unremarkable. After treatment with prednisolone, vocal cord function markedly improved within 8 weeks, whereas paresis of the diaphragm persisted. CONCLUSION:
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Authors | F Holtbernd, A Am Zehnhoff-Dinnesen, T Duning, A Kemmling, E B Ringelstein |
Journal | Case reports in neurology
(Case Rep Neurol)
Vol. 3
Issue 1
Pg. 69-74
(Feb 23 2011)
ISSN: 1662-680X [Electronic] Switzerland |
PMID | 21490716
(Publication Type: Case Reports)
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