Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-24T10:53:19.268Z Has data issue: false hasContentIssue false

Leeuwenhoek’s disease: diaphragmatic flutter in a cardiac patient

Published online by Cambridge University Press:  26 April 2010

Himabindu Samardhi
Affiliation:
Department of Cardiology, The Prince Charles Hospital, Brisbane, Australia
Dorothy J. Radford*
Affiliation:
Department of Cardiology, The Prince Charles Hospital, Brisbane, Australia
Kwun M. Fong
Affiliation:
Department of Thoracic Medicine, The Prince Charles Hospital, Brisbane, Australia
*
Correspondence to: Dr D. J. Radford, MD, FRACP, Department of Cardiology, The Prince Charles Hospital, Rode Road, Chermside, Queensland, 4032, Australia. Tel: 61 7 3139 4000; Fax: 61 7 3139 4715; E-mail: [email protected]

Abstract

A 15-year-old girl gave a recent history of dyspnoea and “funny turns”. She had congenital aortic stenosis, previous valvotomies, a mechanical valve replacement, permanent pacemaker, atrial tachyarrhythmias, impaired ventricular function, systemic hypotension, pulmonary hypertension, and anxiety. The diagnosis of diaphragmatic flutter was delayed due to all the differential diagnoses and rarity of the condition. It was confirmed by observation, respiratory band monitoring, volume-time spirogram and fluoroscopy during an attack.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Leeuwenhoek, A. De globulorum sanguineorum magnitudine. Philos Trans Lond 1723; 32: 341, 438.Google Scholar
2. Rigatto, M, De Medeiros, NP. Diaphragmatic flutter. Report of a case and review of literature. Am J Med 1962; 32: 103109.CrossRefGoogle ScholarPubMed
3. Chen, R, Remtulla, H, Bolton, CF. Electrophysiological study of diaphragmatic myoclonus. Journal Neurol Neurosurgery Psychiatry 1995; 58: 480483.CrossRefGoogle ScholarPubMed
4. Cvietusa, PJ, Nimmagadda, SR, Wood, R, Liu, AH. Diaphragmatic flutter presenting as inspiratory Stridor. Chest 1995; 107: 872875.CrossRefGoogle ScholarPubMed
5. Jinnai, K, Takahashi, K, Shundo, F, Komine, Y, Gotoh, K, Fujita, T. Respiratory myoclonus. Report of a case with electromyographic study. Jap J Med 1986; 25: 288292.CrossRefGoogle ScholarPubMed
6. Philips, JR, Eldridge, FL. Respiratory myoclonus: Leeuwenhoek’s disease. N Engl J Medicine 1973; 289: 13901395.CrossRefGoogle Scholar
7. Nakajima, M, Hirayama, K, Suzuki, J, Shinotoh, H, Yamada, T. Diaphragmatic myoclonus of spinal origin. Clin Neurol (Tokyo) 1986; 26: 1318.Google ScholarPubMed
8. Scheifley, CH, Saslaw, MS. Diaphragmatic spasm associated with recurrent left pneumothorax. Ann Inter Med 1947; 26: 129.Google ScholarPubMed
9. Soderstrom, N. Clonic spasm of the diaphragm: observation in three cases with special attention to the ECG findings. Acta Med Scand 1950; 137: 2736.CrossRefGoogle Scholar
10. Kondo, T, Tamaya, S, Ohta, Y, Yamabayashi, H. Dual-respiratory rhythms. A key to diagnosis of diaphragmatic flutter in patients with hyperventilation syndrome. Chest 1989; 96: 106109.CrossRefGoogle Scholar

Samardhi supplementary movie

Movie

Download Samardhi supplementary movie(Video)
Video 2.8 MB