{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T08:52:04Z","timestamp":1788511924998,"version":"build-2803163510"},"reference-count":0,"publisher":"Universidad Nacional de C\u00f3rdoba","issue":"4","license":[{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Fac Cien Med Univ Nac Cordoba"],"abstract":"<jats:p>Objetivos: Describir un caso de par\u00e1lisis diafragm\u00e1tica bilateral secundaria al s\u00edndrome de Parsonage-Turner, enfatizando su presentaci\u00f3n cl\u00ednica inusual, el abordaje diagn\u00f3stico multidisciplinario y las estrategias terap\u00e9uticas implementadas. Caso cl\u00ednico: Masculino de 63 a\u00f1os, ex tabaquista, con antecedentes de hipertensi\u00f3n arterial y diabetes mellitus tipo 2, que present\u00f3 dolor s\u00fabito e intenso en ambos miembros superiores, seguido de paresia proximal. A las 24 horas desarroll\u00f3 insuficiencia respiratoria hiperc\u00e1pnica, requiriendo ventilaci\u00f3n mec\u00e1nica invasiva. La tomograf\u00eda tor\u00e1cica evidenci\u00f3 elevaci\u00f3n de ambos hemidiafragmas y la ecograf\u00eda confirm\u00f3 disfunci\u00f3n diafragm\u00e1tica bilateral. Los estudios neurofisiol\u00f3gicos mostraron neuropat\u00eda sensitivo\u2013motora sin hallazgos estructurales asociados. Tras descartar otras causas, se estableci\u00f3 el diagn\u00f3stico de par\u00e1lisis diafragm\u00e1tica bilateral secundaria al s\u00edndrome de Parsonage-Turner. Se indic\u00f3 ventilaci\u00f3n no invasiva con presi\u00f3n positiva, con buena evoluci\u00f3n cl\u00ednica y sin reingresos hospitalarios. En el seguimiento a un a\u00f1o, el paciente permanece estable, con adecuada tolerancia al soporte ventilatorio nocturno. Conclusi\u00f3n: Este caso resalta la importancia de incluir el s\u00edndrome de Parsonage\u2013Turner en el diagn\u00f3stico diferencial de la disfunci\u00f3n diafragm\u00e1tica, especialmente ante antecedentes virales y s\u00edntomas neuromusculares. La integraci\u00f3n de m\u00e9todos funcionales como la medici\u00f3n de la presi\u00f3n transdiafragm\u00e1tica m\u00e1xima (PdiMax) y la ecograf\u00eda diafragm\u00e1tica permite caracterizar de forma objetiva la funci\u00f3n del diafragma y constituye una herramienta diagn\u00f3stica de alto valor cl\u00ednico para orientar el manejo ventilatorio y la rehabilitaci\u00f3n respiratoria<\/jats:p>","DOI":"10.31053\/1853.0605.v82.n4.48288","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T19:48:20Z","timestamp":1766432900000},"page":"869","source":"Crossref","is-referenced-by-count":1,"title":["Par\u00e1lisis diafragm\u00e1tica en el s\u00edndrome de Parsonage\u2013Turner: m\u00e1s all\u00e1 de la neuralgia braquial"],"prefix":"10.31053","volume":"82","author":[{"given":"Nazareno","family":"Zelaya de Leon","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04djj4v98","id-type":"ROR","asserted-by":"publisher"}],"name":"Buenos Aires British Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcella","family":"Perri","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04djj4v98","id-type":"ROR","asserted-by":"publisher"}],"name":"Buenos Aires British Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matias","family":"Almeida Souto","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04djj4v98","id-type":"ROR","asserted-by":"publisher"}],"name":"Buenos Aires British Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo","family":"Borsini","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04djj4v98","id-type":"ROR","asserted-by":"publisher"}],"name":"Buenos Aires British Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"12333","published-online":{"date-parts":[[2025,12,22]]},"container-title":["Revista de la Facultad de Ciencias M\u00e9dicas de C\u00f3rdoba"],"original-title":[],"link":[{"URL":"http:\/\/revistas.unc.edu.ar\/index.php\/med\/article\/download\/48288\/51528","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/revistas.unc.edu.ar\/index.php\/med\/article\/download\/48288\/51606","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/revistas.unc.edu.ar\/index.php\/med\/article\/download\/48288\/51606","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T16:00:57Z","timestamp":1766505657000},"score":1,"resource":{"primary":{"URL":"http:\/\/revistas.unc.edu.ar\/index.php\/med\/article\/view\/48288"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,22]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,12,22]]}},"URL":"https:\/\/doi.org\/10.31053\/1853.0605.v82.n4.48288","relation":{},"ISSN":["0014-6722","1853-0605"],"issn-type":[{"value":"0014-6722","type":"print"},{"value":"1853-0605","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,22]]}}}