Phrenic nerve neurotization using the spinal accessory nerve for diaphragmatic palsy in extensive high spinal cord injury secondary to idiopathic acute transverse myelitis

Authors

DOI:

https://doi.org/10.46900/apn.v2i3(September-December).56

Keywords:

Phrenic nerve, Spinal accessory nerve, Neurotization, Diaphragmatic palsy

Abstract

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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Published

2020-06-12 — Updated on 2020-06-12

How to Cite

1.
Gutierrez AH, Carbarin Carbarin ME, Torres García S, Chico Ponce de Leon F. Phrenic nerve neurotization using the spinal accessory nerve for diaphragmatic palsy in extensive high spinal cord injury secondary to idiopathic acute transverse myelitis . Arch Pediat Neurosurg [Internet]. 2020Jun.12 [cited 2021May12];2(3(September-December):e562020. Available from: https://www.archpedneurosurg.com.br/pkp/index.php/sbnped2019/article/view/56