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(Chest. 1995;107:872-875.)
© 1995 American College of Chest Physicians

Diaphragmatic Flutter Presenting as Inspiratory Stridor

Peter J. Cvietusa MD1; Sai R. Nimmagadda MD1; Raymond Wood MD1; and Andrew H. Liu MD1

1 From the Division of Allergy/Immunology, Departments of Pediatrics, National Jewish Center for Immunology and Respiratory Medicine, and University of Colorado School of Medicine, Denver

Diaphragmatic flutter is a rarely reported disorder in which the diaphragm involuntarily contracts at a rapid rate. We report a unique case in which diaphragmatic flutter was associated with inspiratory stridor and was severely disabling. A new approach to the treatment of this condition, phrenic nerve crush, provided an optimal outcome, with resolution of symptoms and the return of normal diaphragmatic function. Pathophysiology and treatment of this condition are discussed.

Key Words: diaphragm • flutter • hiccups • myoclonus • nerve crush • phrenic nerve • respiratory dysfunction • singultus • stridor • vocal cord dysfunction

Submitted on March 30, 1994
Accepted on June 8, 2007




This article has been cited by other articles:


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 Am. J. Respir. Crit. Care Med.Home page
E. S. KATZ, E. GAUDA, T. CRAWFORD, F. OGUNLESI, M. A. LEFTON-GREIF, S. McGRATH-MORROW, and C. L. MARCUS
Respiratory Flutter Syndrome . An Underrecognized Cause of Respiratory Failure in Neonates
Am. J. Respir. Crit. Care Med., October 1, 2001; 164(7): 1161 - 1164.
[Abstract] [Full Text] [PDF]


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