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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Brazilian Society for Pediatric Neurosurgery
2020
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oai:doaj.org-article:519cb58e39484f5ca2f361e2ff8cfe8b2021-11-23T21:46:36ZPhrenic nerve neurotization using the spinal accessory nerve for diaphragmatic palsy in extensive high spinal cord injury secondary to idiopathic acute transverse myelitis2675-362610.46900/apn.v2i3(September-December).56https://doaj.org/article/519cb58e39484f5ca2f361e2ff8cfe8b2020-06-01T00:00:00Zhttps://www.archpedneurosurg.com.br/pkp/index.php/sbnped2019/article/view/56https://doaj.org/toc/2675-3626The 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.Antonio Heredia GutierrezMaria Eugenia Carbarin CarbarinSamuel Torres GarcíaFernando Chico Ponce de LeonBrazilian Society for Pediatric Neurosurgeryarticlephrenic nervespinal accessory nerveneurotizationdiaphragmatic palsyPediatricsRJ1-570SurgeryRD1-811ENArchives of Pediatric Neurosurgery, Vol 2, Iss 3(September-December), Pp e562020-e562020 (2020) |
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phrenic nerve spinal accessory nerve neurotization diaphragmatic palsy Pediatrics RJ1-570 Surgery RD1-811 |
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phrenic nerve spinal accessory nerve neurotization diaphragmatic palsy Pediatrics RJ1-570 Surgery RD1-811 Antonio Heredia Gutierrez Maria Eugenia Carbarin Carbarin Samuel Torres García Fernando Chico Ponce de Leon Phrenic nerve neurotization using the spinal accessory nerve for diaphragmatic palsy in extensive high spinal cord injury secondary to idiopathic acute transverse myelitis |
description |
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. |
format |
article |
author |
Antonio Heredia Gutierrez Maria Eugenia Carbarin Carbarin Samuel Torres García Fernando Chico Ponce de Leon |
author_facet |
Antonio Heredia Gutierrez Maria Eugenia Carbarin Carbarin Samuel Torres García Fernando Chico Ponce de Leon |
author_sort |
Antonio Heredia Gutierrez |
title |
Phrenic nerve neurotization using the spinal accessory nerve for diaphragmatic palsy in extensive high spinal cord injury secondary to idiopathic acute transverse myelitis |
title_short |
Phrenic nerve neurotization using the spinal accessory nerve for diaphragmatic palsy in extensive high spinal cord injury secondary to idiopathic acute transverse myelitis |
title_full |
Phrenic nerve neurotization using the spinal accessory nerve for diaphragmatic palsy in extensive high spinal cord injury secondary to idiopathic acute transverse myelitis |
title_fullStr |
Phrenic nerve neurotization using the spinal accessory nerve for diaphragmatic palsy in extensive high spinal cord injury secondary to idiopathic acute transverse myelitis |
title_full_unstemmed |
Phrenic nerve neurotization using the spinal accessory nerve for diaphragmatic palsy in extensive high spinal cord injury secondary to idiopathic acute transverse myelitis |
title_sort |
phrenic nerve neurotization using the spinal accessory nerve for diaphragmatic palsy in extensive high spinal cord injury secondary to idiopathic acute transverse myelitis |
publisher |
Brazilian Society for Pediatric Neurosurgery |
publishDate |
2020 |
url |
https://doaj.org/article/519cb58e39484f5ca2f361e2ff8cfe8b |
work_keys_str_mv |
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