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Child's Nervous System
Published in: Child's Nervous System 6/2020

01-06-2020 | Glioma | Case Report

Phrenic nerve neurotization utilizing half of the spinal accessory nerve to the functional restoration of the paralyzed diaphragm in high spinal cord injury secondary to brain tumor resection

Authors: Antonio Heredia Gutiérrez, Gabriel Emmanuel Cachón Cámara, Vicente González Carranza, Samuel Torres García, Fernando Chico Ponce de León

Published in: Child's Nervous System | Issue 6/2020

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Abstract

The authors present a case of functional improvement of diaphragmatic paralysis in high spinal cord injury, performing a neurotization of the phrenic nerve with accessory spinal nerve hemisection. A C1-C2 injury of the spinal cord was diagnosed in a 12-year-old male, secondary to resection of a brainstem glioma. The patient did not have diaphragmatic motility at the moment that the mechanical ventilation was removed; however, he presented apnea. The patient underwent neurotization of the right phrenic nerve with the right spinal accessory nerve, 5 months after the injury and 6 months after nerve transfer; he had complete mobilization of the right hemidiaphragm, nevertheless persisted with paralysis of the left hemidiaphragm. This achievement reduced the use of mechanical ventilation during the day.
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Metadata
Title
Phrenic nerve neurotization utilizing half of the spinal accessory nerve to the functional restoration of the paralyzed diaphragm in high spinal cord injury secondary to brain tumor resection
Authors
Antonio Heredia Gutiérrez
Gabriel Emmanuel Cachón Cámara
Vicente González Carranza
Samuel Torres García
Fernando Chico Ponce de León
Publication date
01-06-2020
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 6/2020
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-019-04490-9

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