Phrenic nerve neurotization using the spinal accessory nerve for diaphragmatic palsy in extensive high spinal cord injury secondary to idiopathic acute transverse myelitis
The authors present a case of functional improvement of diaphragmatic paralysis in extensive high spinal cord injury, performing a neurotization of the phrenic nerve with the spinal accessory nerve. A C2-C5 injury of the spinal cord was diagnosed in a 15 years old female, secondary to idiopathic acu...
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| Main Authors: | , , , |
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| Format: | article |
| Language: | EN |
| Published: |
Brazilian Society for Pediatric Neurosurgery
2020
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| Subjects: | |
| Online Access: | https://doaj.org/article/519cb58e39484f5ca2f361e2ff8cfe8b |
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| Summary: | The authors present a case of functional improvement of diaphragmatic paralysis in extensive high spinal cord injury, performing a neurotization of the phrenic nerve with the spinal accessory nerve. A C2-C5 injury of the spinal cord was diagnosed in a 15 years old female, secondary to idiopathic acute transverse myelitis. The patient did not have automatic respiration at the time of mechanical ventilation removal; moreover, she presented ventilatory distress. The neurotization of the left phrenic nerve with left spinal accessory nerve was performed 3 months after the injury, at six months after surgery she showed mobilization of the left hemidiaphragm and reached mechanical ventilation independence. |
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