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Co-existince of Sickle Cell Disease and Hemidiaphragm Paralysis

机译:镰状细胞病和偏瘫偏瘫并存

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Prominent right hemidiaphragma elevation was observed on chest radiograph of a 14 years` old female patient with sickle cell disease. Her medical history yielded neither trauma nor intra-thoracic surgery. She didn`t have either motor deficit or sensation disorder on any region of her body. Thorax CT yielded no lession except the significantly elevated right diaphragma. Her cranial CT showed no lesion, too. Diagnosis of right hemidiaphragm paralysis was confirmed by positive Hitzenberg sniff test on fluoroscopy. Although several pathopysiologic mechanisms are known to be involved and lead to central neurologic complications in sickle cell disease, involvement of peripheric nerves have not been reported. Here we present a 14 years` old female patient with sickle cell anemia and unilateral diaphragm paralysis, co-existince of which have not been reported so far.
机译:在一名14岁女性镰状细胞病患者的胸部X光片上观察到明显的右半ia肌抬高。她的病史既没有创伤也没有胸腔内手术。她的身体任何部位都没有运动障碍或感觉障碍。胸部CT除右right肌明显升高外无其他减轻。她的头颅CT也没有发现病变。荧光镜下的Hitzenberg嗅觉试验阳性证实了右上ph肌麻痹的诊断。尽管已知几种病理病理学机制涉及镰状细胞病并导致中枢神经系统并发症,但尚未报道周围神经受累。在这里,我们介绍了一名14岁的女性患者,该患者患有镰状细胞性贫血和单侧diaphragm肌麻痹,目前尚无报道。

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