{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:09:15Z","timestamp":1785420555823,"version":"3.56.0"},"reference-count":4,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,7,22]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>A lady in her late 50s presented with a 25-year history of intermittent severe neck and arm pain due to a syrinx extending from C4\u2013T3 with suspended sensory loss but no other symptoms. She developed acute-onset bilateral diaphragmatic weakness requiring nocturnal non-invasive ventilation following an episode of severe neck and arm pain.<\/jats:p>\n                  <jats:p>Although rare, neurogenic diaphragmatic weakness has previously been reported with syringomyelia presumably due to involvement of the motor nuclei supplying the phrenic nerve and thoracic intercostal muscles that reside medially in the ventral cord.<\/jats:p>","DOI":"10.1136\/bcr-2025-271754","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:25:15Z","timestamp":1785417915000},"page":"e271754","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Bilateral diaphragmatic weakness due to syringomyelia"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2480-3590","authenticated-orcid":false,"given":"Caroline","family":"Kramarz","sequence":"first","affiliation":[{"name":"Department of Neuromuscular Diseases, UCL Queen Square Institute of Neurology, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parag","family":"Sayal","sequence":"additional","affiliation":[{"name":"Victor Horsley Department of Neurosurgery, UCL Queen Square Institute of Neurology, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Murphy","sequence":"additional","affiliation":[{"name":"St Thomas\u2019 Hospital Lane Fox Respiratory Unit, London, UK"},{"name":"Guy's and St Thomas\u2019 NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander M","family":"Rossor","sequence":"additional","affiliation":[{"name":"Department of Neuromuscular Diseases, UCL Queen Square Institute of Neurology, London, UK"},{"name":"Guy's and St Thomas\u2019 NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"2026073006251284000_19.7.e271754.1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.109.3.598"},{"key":"2026073006251284000_19.7.e271754.2","doi-asserted-by":"crossref","DOI":"10.1177\/014107688808100136","article-title":"Diaphragm weakness and syringomyelia","volume":"81","author":"Nogu\u00e9s","year":"1988","journal-title":"J R Soc Med"},{"key":"2026073006251284000_19.7.e271754.3","doi-asserted-by":"crossref","first-page":"1777","DOI":"10.1212\/WNL.52.9.1777","article-title":"Respiratory disturbances during sleep in syringomyelia and syringobulbia","volume":"52","author":"Nogu\u00e9s","year":"1999","journal-title":"Neurology"},{"key":"2026073006251284000_19.7.e271754.4","doi-asserted-by":"crossref","DOI":"10.3389\/fvets.2025.1534685","article-title":"Neuroanatomy of spinal nociception and pain in dogs and cats: a practical review for the veterinary clinician","volume":"12","author":"Pedersen","year":"2025","journal-title":"Front Vet Sci"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-271754","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:25:16Z","timestamp":1785417916000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-271754"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":4,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026,7,30]]},"published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1136\/bcr-2025-271754"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-271754","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]}}}