Use of Noninvasive Ventilation with Volume-Assured Pressure Support in Neuralgic Amyotrophy with Bilateral Diaphragmatic Paralysis.

Q3 Medicine
Open Respiratory Medicine Journal Pub Date : 2019-07-08 eCollection Date: 2019-01-01 DOI:10.2174/1874306401913010045
Montserrat Diaz-Abad, Neil Porter, Lindsay Zilliox, Nevins Todd
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引用次数: 0

Abstract

Neuralgic Amyotrophy (NA) is a rare, acute onset inflammatory brachial plexopathy that frequently presents with acute pain followed by shoulder girdle muscle weakness. Phrenic nerve involvement affecting the diaphragms occurs in 7-10% of cases. We present the case of a 52-year-old man with neuralgic amyotrophy with phrenic nerve involvement and bilateral diaphragmatic paralysis with marked respiratory symptoms and sleep hypoventilation, who was treated with non-invasive ventilation with volume assured pressure support mode. By 21 months post disease onset, the patient had experienced marked improvement in orthopnea, sleep quality and functional status. This is the first reported case of the use of this mode of noninvasive ventilation in neuralgic amyotrophy.

Abstract Image

无创通气与容量保证压力支持在神经痛性肌萎缩伴双侧膈肌麻痹中的应用。
神经痛性肌萎缩症(NA)是一种罕见的、急性发作的炎症性臂丛病,通常表现为急性疼痛,然后是肩带肌无力。膈神经受累影响膈发生在7-10%的病例。我们报告一名52岁男性,患有神经性肌萎缩伴膈神经受累和双侧膈肌麻痹,伴有明显的呼吸症状和睡眠低通气,采用无创通气和容量保证压力支持模式治疗。发病21个月后,患者在骨科、睡眠质量和功能状态方面均有明显改善。这是首次报道的使用这种无创通气模式治疗神经性肌萎缩症的病例。
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来源期刊
Open Respiratory Medicine Journal
Open Respiratory Medicine Journal Medicine-Pulmonary and Respiratory Medicine
CiteScore
1.70
自引率
0.00%
发文量
17
期刊介绍: The Open Respiratory Medicine Journal is an Open Access online journal, which publishes research articles, reviews/mini-reviews, letters and guest edited single topic issues in all important areas of experimental and clinical research in respiratory medicine. Topics covered include: -COPD- Occupational disorders, and the role of allergens and pollutants- Asthma- Allergy- Non-invasive ventilation- Therapeutic intervention- Lung cancer- Lung infections respiratory diseases- Therapeutic interventions- Adult and paediatric medicine- Cell biology. The Open Respiratory Medicine Journal, a peer reviewed journal, is an important and reliable source of current information on important recent developments in the field. The emphasis will be on publishing quality articles rapidly and making them freely available worldwide.
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