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Vol. 36. Issue 7.
Pages 417-419 (July - August 2000)
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Vol. 36. Issue 7.
Pages 417-419 (July - August 2000)
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Mediastinitis esclerosante crónica: una causa infrecuente de parálisis diafragmática unilateral
Chronic sclerosing mediastinitis: a rare cause of unilateral diaphragmatic paralysis
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J.A. Carretero Graciaa,*, R. Álvarez Alegretb, J.C. Peñalver Cuestac
a Servicio de Medicina Interna (Neumología). Hospital General de Soria.
b Servicio de Anatomía Patológica. Hospital Miguel Servet. Zaragoza.
c Servicio de Cirugía Torácica. Hospital Miguel Servet. Zaragoza
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La mediastinitis esclerosante crónica es una enfermedad de escasa frecuencia y de etiología variada, que suele cursar con síndromes de compresión mediastínica, generalmente por oclusión de la vena cava superior. Presentamos un caso de mediastinitis esclerosante crónica diagnosticado a partir del hallazgo radiológico casual de una parálisis diafragmática unilateral, hecho no referenciado previamente en la bibliografía. Se actualizan sus rasgos clínicos, radiológicos e histológicos.

Palabras clave:
Mediastinitis esclerosante crónica
Parálisis diafragmática unilateral

Chronic sclerosing mediastinitis (CSM) is a rare disease whose etiology varies and which usually develops through mediastinal compression syndromes, generally due to occlusion of the superior vena cava. We report a case of CSM diagnosed after a chance finding of unilateral diaphragm paralysis, a circumstance not previously reported in the literature. We review the clinical, radiological and histological features of CSM.

Key words:
Chronic sclerosing mediastinitis
Unilateral diaphragm paralysis
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