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35 Possible Causes for Descending Paralysis, Exertional Dyspnea

  • Botulism

    Clostridium botulinum is known to cause descending paralysis in infants throughout the world.[] A 47-year-old white woman and her 51-year-old white husband presented with paralysis of multiple cranial nerves and rapidly descending paralysis approximately 72 hours after[] Botulism is characterized by symmetrical descending paralysis that may progress to respiratory arrest.[]

  • Paralysis

    An exertional dyspnea remained.[] descending paralysis , which occurs in conditions such as botulism .[] In this group, dyspnea may develop with exertion, leading to increased ventilatory demands.[]

  • Phrenic Nerve Palsy

    May 22, 2012 A 71-year-old man was referred to the pulmonary clinic for evaluation of the sudden onset of exertional dyspnea.[] (similar to tick paralysis and in contrast to descending paralysis seen in botulism and paralytic-neurotoxic shellfish poisoning) Hypothyroidism (see Hypothyroidism ) Hypothyroidism-associated[] In normal subjects both hemidiaphragms descend with inspiration. In cases of phrenic nerve paralysis the affected side demonstrates paradoxical upward movement 10 .[]

  • Hypoventilation

    Exertional dyspnea 3. Wheezing and crackles 4. Sputum production 5. Weight loss 6. Barrel chest (emphysema) 7. Use of accessory muscles for breathing 8.[] paralysis (similar to paralytic-neurotoxic shellfish poisoning) Tick Paralysis (see Tick Paralysis , [[Tick Paralysis]]): toxin probably impairs acetylcholine mobilization[] Patients may be anxious and complain of dyspnea with exertion. As the degree of hypoventilation progresses, patients develop dyspnea at rest.[]

  • Adult Primary Lateral Sclerosis

    Dyspnea with mild exertion or in association with meals is suggestive of significant respiratory muscle weakness.[] References Mills CK: Unilateral ascending paralysis and unilateral descending paralysis. JAMA 1906;47:1638-1645.[] Exertional dyspnea and fatigue can be early symptoms, although patients may be asymptomatic despite respiratory muscle weakness demonstra ble on pulmonary function testing[]

  • Extrapulmonary Alveolar Hypoventilation

    . 11 This test can be performed when symptoms are atypical for exertional angina or when silent ischemia is suspected as a cause of dyspnea on exertion.[] […] diaphragm appear to descend.[] View/Print Table TABLE 2 History and Physical Examination Clues to Conditions That Cause Dyspnea Findings Condition History Dyspnea on exertion Cardiac or pulmonary disease[]

  • Diphtheritic Myocarditis

    Shortness of breath Dyspnea on exertion and fatigue are common.[] Paralysis was ascending (33%, n 5), descending (27%, n 4), or uncertain (40%, n 6). It was most often symmetric (93%, n 14).[] In a series of 245 patients with clinically suspected myocarditis, the most common symptoms include fatigue (82 %); dyspnea on exertion (81 %); arrhythmias (55 %, both supraventricular[]

  • Miller-Fisher Syndrome

    […] on exertion Shortness of breath Difficulty swallowing Slurred speech Ventilatory failure with required respiratory support occurs in up to one third of patients at some time[] As mentioned earlier, descending paralysis is a characteristic manifestation of Miller Fisher syndrome.[] paralysis Diplopia Numbness Dizziness Ophthalmoplegia more related diseases...»[]

  • Myopathy and Diabetes mellitus

    Exertional dyspnea leads to a... read more » Obesity-related conditions undiagnosed in children : A variety of conditions are associated with obesity (see obesity ), but these[] It is critical to recognize this condition since it can progress rapidly to respiratory paralysis and life-threatening autonomic instability.[] This is usually recognized by subacute weakness (sometimes ascending from the legs and sometimes descending, starting with eye, face or oropharyngeal muscles).[]

  • Bilateral Vocal Cord Paralysis

    dyspnea (grade 2).[] Recurrent Laryngeal Nerve has a much longer course which makes it more prone to paralysis as compared to the right one. 10.[] We describe the case of a 55-year-old female ex-smoker who presented with a long history of hoarseness and progressive exertional dyspnea.[]

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