Clinical Pediatrics

 

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Clinical Pediatrics, Vol. 29, No. 3, 169-171 (1990)
DOI: 10.1177/000992289002900305

Early Diaphragmatic Paralysis

In Infants with Genetic Disorders

Yakov Sivan, MD

Division of Pediatric Intensive Care, Children's Hospital of Los Angeles, University of Southern California School of Medicine, Los Angeles, California

Antonio Galvis, MD

Division of Pediatric Intensive Care, Children's Hospital of Los Angeles, University of Southern California School of Medicine, Los Angeles, California

Three infants with recently diagnosed genetic diseases presented with respiratory failure and required assisted ventilation. One infant had spinal muscular atrophy (Werdnig-Hoffmann disease), and two had acid maltase deficiency. The cause of the respiratory failure in all was diaphragmatic paralysis, and they became ventilator dependent. Early diaphragmatic paralysis must be considered as a manifestation of genetic neuromuscular disorders.


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