Barber's neck manipulation causing bilateral diaphragmatic paralysis and type-2 respiratory failure

This is a case report of an unusual cause of bilateral diaphragmatic palsy. A 54-year-old gentleman, presented to us with exertional dyspnea and chest heaviness for the past 6 months which had increased in the last 6 days. Dyspnea increased on lying down. He was diagnosed as pneumonia on the basis o...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Ashish Kumar Prakash [verfasserIn] Anand Jaiswal [verfasserIn] Sandeep Mittal [verfasserIn] Poulomi Chatterjee [verfasserIn] Sameer Kotalwar [verfasserIn] Bornalli Datta [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2019

Schlagwörter:	Barber chiropractic neck manipulation diaphragm Type-2 respiratory failure

Übergeordnetes Werk:	In: Lung India - Wolters Kluwer Medknow Publications, 2009, 36(2019), 3, Seite 226-228
Übergeordnetes Werk:	volume:36 ; year:2019 ; number:3 ; pages:226-228

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.4103/lungindia.lungindia_90_18

Katalog-ID:	DOAJ011155884

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allfields	10.4103/lungindia.lungindia_90_18 doi (DE-627)DOAJ011155884 (DE-599)DOAJ5b1d028a1f16415fb2e2a2ee91328eee DE-627 ger DE-627 rakwb eng RC705-779 Ashish Kumar Prakash verfasserin aut Barber's neck manipulation causing bilateral diaphragmatic paralysis and type-2 respiratory failure 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier This is a case report of an unusual cause of bilateral diaphragmatic palsy. A 54-year-old gentleman, presented to us with exertional dyspnea and chest heaviness for the past 6 months which had increased in the last 6 days. Dyspnea increased on lying down. He was diagnosed as pneumonia on the basis of X-ray and chest CT scan, received treatment for the same and responded to the therapy. However, breathlessness and hypercapnia persisted. He had unexplained hypercapnia for which extensive investigations were carried out. Neurological and cardiac assessments were essentially normal. On revisit clinical examination, he was found to have paradoxical diaphragmatic movement with respiration. Ultrasound of chest detected no diaphragmatic movement. Detailed history elicited that patient was fond of neck massage and neck cracking wherein his barber would bend his neck with jerk to either side after a haircut.After considering all possible etiologies; we concluded that it was a case of diaphragm palsy induced by barber neck manipulation, leading to Type-2 respiratory failure. The fact that the vital clues to the diagnosis were elicited by detailed history and thorough examination reinforces that history and clinical examination for doctors shall remain a very important tool for clinical diagnosis. Barber chiropractic neck manipulation diaphragm Type-2 respiratory failure Diseases of the respiratory system Anand Jaiswal verfasserin aut Sandeep Mittal verfasserin aut Poulomi Chatterjee verfasserin aut Sameer Kotalwar verfasserin aut Bornalli Datta verfasserin aut In Lung India Wolters Kluwer Medknow Publications, 2009 36(2019), 3, Seite 226-228 (DE-627)558697895 (DE-600)2410801-7 0974598X nnns volume:36 year:2019 number:3 pages:226-228 https://doi.org/10.4103/lungindia.lungindia_90_18 kostenfrei https://doaj.org/article/5b1d028a1f16415fb2e2a2ee91328eee kostenfrei http://www.lungindia.com/article.asp?issn=0970-2113;year=2019;volume=36;issue=3;spage=226;epage=228;aulast=Prakash kostenfrei https://doaj.org/toc/0970-2113 Journal toc kostenfrei https://doaj.org/toc/0974-598X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 36 2019 3 226-228
spelling	10.4103/lungindia.lungindia_90_18 doi (DE-627)DOAJ011155884 (DE-599)DOAJ5b1d028a1f16415fb2e2a2ee91328eee DE-627 ger DE-627 rakwb eng RC705-779 Ashish Kumar Prakash verfasserin aut Barber's neck manipulation causing bilateral diaphragmatic paralysis and type-2 respiratory failure 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier This is a case report of an unusual cause of bilateral diaphragmatic palsy. A 54-year-old gentleman, presented to us with exertional dyspnea and chest heaviness for the past 6 months which had increased in the last 6 days. Dyspnea increased on lying down. He was diagnosed as pneumonia on the basis of X-ray and chest CT scan, received treatment for the same and responded to the therapy. However, breathlessness and hypercapnia persisted. He had unexplained hypercapnia for which extensive investigations were carried out. Neurological and cardiac assessments were essentially normal. On revisit clinical examination, he was found to have paradoxical diaphragmatic movement with respiration. Ultrasound of chest detected no diaphragmatic movement. Detailed history elicited that patient was fond of neck massage and neck cracking wherein his barber would bend his neck with jerk to either side after a haircut.After considering all possible etiologies; we concluded that it was a case of diaphragm palsy induced by barber neck manipulation, leading to Type-2 respiratory failure. The fact that the vital clues to the diagnosis were elicited by detailed history and thorough examination reinforces that history and clinical examination for doctors shall remain a very important tool for clinical diagnosis. Barber chiropractic neck manipulation diaphragm Type-2 respiratory failure Diseases of the respiratory system Anand Jaiswal verfasserin aut Sandeep Mittal verfasserin aut Poulomi Chatterjee verfasserin aut Sameer Kotalwar verfasserin aut Bornalli Datta verfasserin aut In Lung India Wolters Kluwer Medknow Publications, 2009 36(2019), 3, Seite 226-228 (DE-627)558697895 (DE-600)2410801-7 0974598X nnns volume:36 year:2019 number:3 pages:226-228 https://doi.org/10.4103/lungindia.lungindia_90_18 kostenfrei https://doaj.org/article/5b1d028a1f16415fb2e2a2ee91328eee kostenfrei http://www.lungindia.com/article.asp?issn=0970-2113;year=2019;volume=36;issue=3;spage=226;epage=228;aulast=Prakash kostenfrei https://doaj.org/toc/0970-2113 Journal toc kostenfrei https://doaj.org/toc/0974-598X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 36 2019 3 226-228
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allfieldsGer	10.4103/lungindia.lungindia_90_18 doi (DE-627)DOAJ011155884 (DE-599)DOAJ5b1d028a1f16415fb2e2a2ee91328eee DE-627 ger DE-627 rakwb eng RC705-779 Ashish Kumar Prakash verfasserin aut Barber's neck manipulation causing bilateral diaphragmatic paralysis and type-2 respiratory failure 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier This is a case report of an unusual cause of bilateral diaphragmatic palsy. A 54-year-old gentleman, presented to us with exertional dyspnea and chest heaviness for the past 6 months which had increased in the last 6 days. Dyspnea increased on lying down. He was diagnosed as pneumonia on the basis of X-ray and chest CT scan, received treatment for the same and responded to the therapy. However, breathlessness and hypercapnia persisted. He had unexplained hypercapnia for which extensive investigations were carried out. Neurological and cardiac assessments were essentially normal. On revisit clinical examination, he was found to have paradoxical diaphragmatic movement with respiration. Ultrasound of chest detected no diaphragmatic movement. Detailed history elicited that patient was fond of neck massage and neck cracking wherein his barber would bend his neck with jerk to either side after a haircut.After considering all possible etiologies; we concluded that it was a case of diaphragm palsy induced by barber neck manipulation, leading to Type-2 respiratory failure. The fact that the vital clues to the diagnosis were elicited by detailed history and thorough examination reinforces that history and clinical examination for doctors shall remain a very important tool for clinical diagnosis. Barber chiropractic neck manipulation diaphragm Type-2 respiratory failure Diseases of the respiratory system Anand Jaiswal verfasserin aut Sandeep Mittal verfasserin aut Poulomi Chatterjee verfasserin aut Sameer Kotalwar verfasserin aut Bornalli Datta verfasserin aut In Lung India Wolters Kluwer Medknow Publications, 2009 36(2019), 3, Seite 226-228 (DE-627)558697895 (DE-600)2410801-7 0974598X nnns volume:36 year:2019 number:3 pages:226-228 https://doi.org/10.4103/lungindia.lungindia_90_18 kostenfrei https://doaj.org/article/5b1d028a1f16415fb2e2a2ee91328eee kostenfrei http://www.lungindia.com/article.asp?issn=0970-2113;year=2019;volume=36;issue=3;spage=226;epage=228;aulast=Prakash kostenfrei https://doaj.org/toc/0970-2113 Journal toc kostenfrei https://doaj.org/toc/0974-598X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 36 2019 3 226-228
allfieldsSound	10.4103/lungindia.lungindia_90_18 doi (DE-627)DOAJ011155884 (DE-599)DOAJ5b1d028a1f16415fb2e2a2ee91328eee DE-627 ger DE-627 rakwb eng RC705-779 Ashish Kumar Prakash verfasserin aut Barber's neck manipulation causing bilateral diaphragmatic paralysis and type-2 respiratory failure 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier This is a case report of an unusual cause of bilateral diaphragmatic palsy. A 54-year-old gentleman, presented to us with exertional dyspnea and chest heaviness for the past 6 months which had increased in the last 6 days. Dyspnea increased on lying down. He was diagnosed as pneumonia on the basis of X-ray and chest CT scan, received treatment for the same and responded to the therapy. However, breathlessness and hypercapnia persisted. He had unexplained hypercapnia for which extensive investigations were carried out. Neurological and cardiac assessments were essentially normal. On revisit clinical examination, he was found to have paradoxical diaphragmatic movement with respiration. Ultrasound of chest detected no diaphragmatic movement. Detailed history elicited that patient was fond of neck massage and neck cracking wherein his barber would bend his neck with jerk to either side after a haircut.After considering all possible etiologies; we concluded that it was a case of diaphragm palsy induced by barber neck manipulation, leading to Type-2 respiratory failure. The fact that the vital clues to the diagnosis were elicited by detailed history and thorough examination reinforces that history and clinical examination for doctors shall remain a very important tool for clinical diagnosis. Barber chiropractic neck manipulation diaphragm Type-2 respiratory failure Diseases of the respiratory system Anand Jaiswal verfasserin aut Sandeep Mittal verfasserin aut Poulomi Chatterjee verfasserin aut Sameer Kotalwar verfasserin aut Bornalli Datta verfasserin aut In Lung India Wolters Kluwer Medknow Publications, 2009 36(2019), 3, Seite 226-228 (DE-627)558697895 (DE-600)2410801-7 0974598X nnns volume:36 year:2019 number:3 pages:226-228 https://doi.org/10.4103/lungindia.lungindia_90_18 kostenfrei https://doaj.org/article/5b1d028a1f16415fb2e2a2ee91328eee kostenfrei http://www.lungindia.com/article.asp?issn=0970-2113;year=2019;volume=36;issue=3;spage=226;epage=228;aulast=Prakash kostenfrei https://doaj.org/toc/0970-2113 Journal toc kostenfrei https://doaj.org/toc/0974-598X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 36 2019 3 226-228
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callnumber-first	R - Medicine
author	Ashish Kumar Prakash
spellingShingle	Ashish Kumar Prakash misc RC705-779 misc Barber misc chiropractic neck manipulation misc diaphragm misc Type-2 respiratory failure misc Diseases of the respiratory system Barber's neck manipulation causing bilateral diaphragmatic paralysis and type-2 respiratory failure
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topic_title	RC705-779 Barber's neck manipulation causing bilateral diaphragmatic paralysis and type-2 respiratory failure Barber chiropractic neck manipulation diaphragm Type-2 respiratory failure
topic	misc RC705-779 misc Barber misc chiropractic neck manipulation misc diaphragm misc Type-2 respiratory failure misc Diseases of the respiratory system
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title	Barber's neck manipulation causing bilateral diaphragmatic paralysis and type-2 respiratory failure
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title_sort	barber's neck manipulation causing bilateral diaphragmatic paralysis and type-2 respiratory failure
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title_auth	Barber's neck manipulation causing bilateral diaphragmatic paralysis and type-2 respiratory failure
abstract	This is a case report of an unusual cause of bilateral diaphragmatic palsy. A 54-year-old gentleman, presented to us with exertional dyspnea and chest heaviness for the past 6 months which had increased in the last 6 days. Dyspnea increased on lying down. He was diagnosed as pneumonia on the basis of X-ray and chest CT scan, received treatment for the same and responded to the therapy. However, breathlessness and hypercapnia persisted. He had unexplained hypercapnia for which extensive investigations were carried out. Neurological and cardiac assessments were essentially normal. On revisit clinical examination, he was found to have paradoxical diaphragmatic movement with respiration. Ultrasound of chest detected no diaphragmatic movement. Detailed history elicited that patient was fond of neck massage and neck cracking wherein his barber would bend his neck with jerk to either side after a haircut.After considering all possible etiologies; we concluded that it was a case of diaphragm palsy induced by barber neck manipulation, leading to Type-2 respiratory failure. The fact that the vital clues to the diagnosis were elicited by detailed history and thorough examination reinforces that history and clinical examination for doctors shall remain a very important tool for clinical diagnosis.
abstractGer	This is a case report of an unusual cause of bilateral diaphragmatic palsy. A 54-year-old gentleman, presented to us with exertional dyspnea and chest heaviness for the past 6 months which had increased in the last 6 days. Dyspnea increased on lying down. He was diagnosed as pneumonia on the basis of X-ray and chest CT scan, received treatment for the same and responded to the therapy. However, breathlessness and hypercapnia persisted. He had unexplained hypercapnia for which extensive investigations were carried out. Neurological and cardiac assessments were essentially normal. On revisit clinical examination, he was found to have paradoxical diaphragmatic movement with respiration. Ultrasound of chest detected no diaphragmatic movement. Detailed history elicited that patient was fond of neck massage and neck cracking wherein his barber would bend his neck with jerk to either side after a haircut.After considering all possible etiologies; we concluded that it was a case of diaphragm palsy induced by barber neck manipulation, leading to Type-2 respiratory failure. The fact that the vital clues to the diagnosis were elicited by detailed history and thorough examination reinforces that history and clinical examination for doctors shall remain a very important tool for clinical diagnosis.
abstract_unstemmed	This is a case report of an unusual cause of bilateral diaphragmatic palsy. A 54-year-old gentleman, presented to us with exertional dyspnea and chest heaviness for the past 6 months which had increased in the last 6 days. Dyspnea increased on lying down. He was diagnosed as pneumonia on the basis of X-ray and chest CT scan, received treatment for the same and responded to the therapy. However, breathlessness and hypercapnia persisted. He had unexplained hypercapnia for which extensive investigations were carried out. Neurological and cardiac assessments were essentially normal. On revisit clinical examination, he was found to have paradoxical diaphragmatic movement with respiration. Ultrasound of chest detected no diaphragmatic movement. Detailed history elicited that patient was fond of neck massage and neck cracking wherein his barber would bend his neck with jerk to either side after a haircut.After considering all possible etiologies; we concluded that it was a case of diaphragm palsy induced by barber neck manipulation, leading to Type-2 respiratory failure. The fact that the vital clues to the diagnosis were elicited by detailed history and thorough examination reinforces that history and clinical examination for doctors shall remain a very important tool for clinical diagnosis.
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title_short	Barber's neck manipulation causing bilateral diaphragmatic paralysis and type-2 respiratory failure
url	https://doi.org/10.4103/lungindia.lungindia_90_18 https://doaj.org/article/5b1d028a1f16415fb2e2a2ee91328eee http://www.lungindia.com/article.asp?issn=0970-2113;year=2019;volume=36;issue=3;spage=226;epage=228;aulast=Prakash https://doaj.org/toc/0970-2113 https://doaj.org/toc/0974-598X
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up_date	2024-07-03T18:47:30.094Z
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Barber's neck manipulation causing bilateral diaphragmatic paralysis and type-2 respiratory failure

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