Phrenic nerve palsy in children associated with confirmed intrathoracic tuberculosis: diagnosis and clinical course

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dc.contributor.authorGoussard, P.en
dc.contributor.authorGie, R. P.en
dc.contributor.authorKling, S.en
dc.contributor.authorAndronikou, S.en
dc.contributor.authorJanson, J. T.en
dc.contributor.authorRoussouw, G. J.en
dc.date.accessioned2015-11-24T18:58:35Z
dc.date.available2015-11-24T18:58:35Z
dc.identifier.issn1099-0496-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/19294
dc.rightsDefault Licence-
dc.subjectAntitubercular Agents/therapeutic useen
dc.subjectBronchoscopyen
dc.subjectChild, Preschoolen
dc.subjectDiaphragm/surgeryen
dc.subjectFemaleen
dc.subjectFluoroscopyen
dc.subjectHumansen
dc.subjectInfanten
dc.subjectMaleen
dc.subjectMononeuropathies/*diagnosis/drug therapy/microbiology/surgeryen
dc.subjectMycobacterium tuberculosis/isolation & purificationen
dc.subjectPhrenic Nerve/microbiology/*radiographyen
dc.subjectRadiography, Thoracic/methodsen
dc.subjectRespiratory Paralysis/*diagnosis/drug therapy/microbiology/surgeryen
dc.subjectRetrospective Studiesen
dc.subjectThorax/microbiologyen
dc.subjectTomography, X-Ray Computeden
dc.subjectTreatment Outcomeen
dc.subjectTuberculosis, Lymph Node/*diagnosis/drug therapy/microbiologyen
dc.subjectTuberculosis, Pulmonary/*complications/*diagnosis/drug therapy/microbiologyen
dc.titlePhrenic nerve palsy in children associated with confirmed intrathoracic tuberculosis: diagnosis and clinical courseen
heal.abstractIn this descriptive retrospective cases series of eight cases phrenic nerve palsy in children caused by tuberculosis lymph gland infiltration of the phrenic nerve. The lymph gland enlargement was in all cases caused by culture confirmed Mycobacterium tuberculosis. The phrenic nerve palsy was on the left side in all eight cases with the presenting feature a raised diaphragm on chest radiography that was accompanied by consolidation of the left upper lobe (88%) The diagnosis of phrenic nerve palsy was confirmed by fluoroscopy of the chest. On computer tomography the outstanding features were left sided hilar and paratracheal lymph gland enlargement with displacement of the mediastinum to the right. Mediastinal displacement lead to anterior displacement of the descending aorta, which further compressed the left main bronchus. Two children had accompanying respiratory failure requiring assisted ventilation and in two additional cases the airway compression was so severe that glandular enucleation of the enlarged glands was indicated. Of the eight children five remained symptomatic after completion of TB treatment to which steroids were added for the initial month. Diaphragmatic plication was indicated in all five cases. On clinical follow-up two children had repeated respiratory tract infections secondary to underlying lung damage while the other six remained asymptomatic.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1002/ppul.21007-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/19283762-
heal.identifier.secondaryhttp://onlinelibrary.wiley.com/store/10.1002/ppul.21007/asset/21007_ftp.pdf?v=1&t=h0cazmac&s=5a2c8058de799af4130d9a2302a83c21cc444153-
heal.journalNamePediatr Pulmonolen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2009-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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