Assessment of diaphragm motion using ultrasonography in a patient with facio-scapulo-humeral dystrophy: A case report. Issue 4 (January 2019)

• Record Type: Journal Article
• Authors: Fayssoil, Abdallah; Stojkovic, Tanya; Ogna, Adam; Laforet, Pascal; Prigent, Helene; Lofaso, Frederic; Orlikowski, David; Bassez, Guillaume; Eymard, Bruno; Behin, Anthony
• Other Names: NA. section editor.
• Is Part Of: Medicine. Volume 98:Issue 4(2019)
• Publication Date: 2019-01
• Subjects: diaphragm weakness -- FSHD1 -- ultrasound; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000013887
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Rationale: Diaphragm is the main inspiratory respiratory muscle and little is known about diaphragm ultrasound in facio-scapula-humeral muscular dystrophy, a neuromuscular disease characterized by an asymmetric skeletal muscle involvement. Patient concerns: Diaphragm function evaluation Diagnosis: Diaphragm muscle weakness attested by the drop of vital capacity (VC) value from sitting position (74%) to supine position (46%). Interventions: A diaphragm ultrasound was performed in supine position, from the anterior subcostal window Outcomes: We found an opposite side to side hemi diaphragm displacement, either during sniff maneuver or during deep inspiration maneuver, showing a cranial abnormal reduced motion of the right hemi diaphragm whereas the left hemi diaphragm moved caudally. Lessons: Diaphragm weakness may be present with an asymmetric pattern and an opposite motion during inspiration or sniff manoeuver in facio-scapula-humeral muscular dystrophy. A future study with a systematic evaluation of a greater number of FSHD1 patients will be necessary to characterize this population.