Normal chest radiograph in terminal respiratory failure due to amyotrophic lateral sclerosis.(Letter to the editor)

From: Southern Medical Journal | Date: May 1, 2006| Author: Banerjee, Dipanjan; Kuschner, Ware G.; Stark, Paul; Won, Christine | Copyright information

To the Editor: We report the case of a patient with terminal respiratory failure due to amyotrophic lateral sclerosis (ALS) who had a normal chest radiograph (CXR) 13 hours before respiratory arrest and death. This case shows that a normal CXR in the setting of severe neuromuscular disease cannot be used as evidence of even short term respiratory stability.

A 48-year-old man with end-stage ALS presented with respiratory insufficiency and weight loss. Five months before h...

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