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The Localizing Significance of Impaired Respiratory Movements in Lesions of the Spinal Cord.

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By KLINGMAN WALTER O.. . (Bull. of the Neurol. Institute. , New York, 191:, (i) , 136.-144)

Ann Intern Med. 1931;5(1):75. doi:10.7326/0003-4819-5-1-75_1
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Information of great value in localizing motor lesions involving the spinal cord may at times be obtained by careful observation of the action of the muscles of respiration. Due regard must be given to non-neurological affections in the thorax which might modify the action of the intercostal muscles and diaphragm. Five groups of variations which are of neurological import are recognized. The first group shows exaggerated lateral movements of both costal margins and includes the cases of paralysis of the diaphragm, such as may occur in poliomyelitis and other lesions of the second, third and fourth cervical segments due to



spinal cord

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