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Case Report and Review of Literature

Elisabeth J. Schmalstieg, MD; Bruce H. Peters, MD; Sydney S. Schochet, MD; Steven R. Findlay, MD

Arch Neurol. 1977;34(8):473-476.

Abstract
• Polyneuropathy presented as isolated respiratory muscular paralysis. Transdiaphragmatic pressure measurements, nerve conduction studies, electromyography, and biopsy of intercostal muscle confirmed the nature of the process. Patients with unexplained respiratory insufficiency must be carefully evaluated for underlying neuromuscular disease.

Author Affiliations
From the Departments of Neurology (Drs Schmalstieg and Peters), Pathology (Dr Schochet), and Internal Medicine (Dr Findlay), the University of Texas Medical Branch, Galveston.

Footnotes
Accepted for publication April 14, 1977.

Reprint requests to Department of Neurology, the University of Texas Medical Branch, Galveston, TX 77550 (Dr Peters).

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