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Crit Ultrasound J. 2015 Dec;7(1):16. doi: 10.1186/s13089-015-0033-5. Epub 2015 Oct 21.

A case of chronic inflammatory demyelinating polyneuropathy with reversible alternating diaphragmatic paralysis: case study.

Critical ultrasound journal

Kavi Haji, Ernest Butler, Colin Royse

Affiliations

  1. Intensive Care Unit, Frankston Hospital, Peninsula Health, Hastings Road, Frankston, VIC, 3199, Australia. [email protected].
  2. Department of Neurology, Frankston Hospital, Peninsula Health, Frankston, VIC, Australia. [email protected].
  3. Department of Surgery, The University of Melbourne, Melbourne, VIC, Australia. [email protected].
  4. Department of Anaesthesia and Pain Management, The Royal Melbourne Hospital, Melbourne, VIC, Australia. [email protected].

PMID: 26490681 PMCID: PMC4614851 DOI: 10.1186/s13089-015-0033-5

Abstract

Respiratory failure requiring mechanical ventilation has been reported in patients with bilateral diaphragmatic paralysis due to CIDP. We report a case of CIDP that progressed to respiratory failure with normal chest radiography despite unilateral diaphragmatic paralysis. This manifestation would have been missed if ultrasound was not employed.

Keywords: CIDP; Diaphragm; Mechanical ventilation; Phrenic nerve; Ultrasound

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