Phrenic nerve stimulation for diaphragmatic pacing in a patient with high cervical spinal cord injury

Background: Phrenic nerve stimulation is a therapeutic option for patients with central hypoventilation syndrome due to brain stem and high cervical spinal cord dysfunction. Case Report: A 28-year old woman with high cervical spinal cord injury at the level of C2 had chronic central hypoventilation...

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Main Authors: Bunpot Sitthinamsuwan, Sarun Nunta-aree
Other Authors: Mahidol University
Format: Article
Published: 2018
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Online Access:https://repository.li.mahidol.ac.th/handle/123456789/27826
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spelling th-mahidol.278262018-09-13T13:49:36Z Phrenic nerve stimulation for diaphragmatic pacing in a patient with high cervical spinal cord injury Bunpot Sitthinamsuwan Sarun Nunta-aree Mahidol University Medicine Background: Phrenic nerve stimulation is a therapeutic option for patients with central hypoventilation syndrome due to brain stem and high cervical spinal cord dysfunction. Case Report: A 28-year old woman with high cervical spinal cord injury at the level of C2 had chronic central hypoventilation syndrome, requiring long-term use of a home ventilator. Preoperative end tidal CO 2 and tidal volume during spontaneous breathing indicated hypoventilation syndrome. Bilateral phrenic nerve stimulation for diaphragmatic pacing was performed with spinal cord stimulators used for chronic pain. The end tidal CO2 pressure (ETCO2), tidal volume, and spontaneous breathing time have improved up to 29 months of postoperative follow-up period. Conclusion: Phrenic nerve stimulation for diaphragmatic pacing can reduce all-time requirement of ventilatory support in patients with high cervical spinal cord injury. 2018-09-13T06:49:36Z 2018-09-13T06:49:36Z 2009-12-01 Article Journal of the Medical Association of Thailand. Vol.92, No.12 (2009), 1691-1695 01252208 01252208 2-s2.0-77249107081 https://repository.li.mahidol.ac.th/handle/123456789/27826 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=77249107081&origin=inward
institution Mahidol University
building Mahidol University Library
continent Asia
country Thailand
Thailand
content_provider Mahidol University Library
collection Mahidol University Institutional Repository
topic Medicine
spellingShingle Medicine
Bunpot Sitthinamsuwan
Sarun Nunta-aree
Phrenic nerve stimulation for diaphragmatic pacing in a patient with high cervical spinal cord injury
description Background: Phrenic nerve stimulation is a therapeutic option for patients with central hypoventilation syndrome due to brain stem and high cervical spinal cord dysfunction. Case Report: A 28-year old woman with high cervical spinal cord injury at the level of C2 had chronic central hypoventilation syndrome, requiring long-term use of a home ventilator. Preoperative end tidal CO 2 and tidal volume during spontaneous breathing indicated hypoventilation syndrome. Bilateral phrenic nerve stimulation for diaphragmatic pacing was performed with spinal cord stimulators used for chronic pain. The end tidal CO2 pressure (ETCO2), tidal volume, and spontaneous breathing time have improved up to 29 months of postoperative follow-up period. Conclusion: Phrenic nerve stimulation for diaphragmatic pacing can reduce all-time requirement of ventilatory support in patients with high cervical spinal cord injury.
author2 Mahidol University
author_facet Mahidol University
Bunpot Sitthinamsuwan
Sarun Nunta-aree
format Article
author Bunpot Sitthinamsuwan
Sarun Nunta-aree
author_sort Bunpot Sitthinamsuwan
title Phrenic nerve stimulation for diaphragmatic pacing in a patient with high cervical spinal cord injury
title_short Phrenic nerve stimulation for diaphragmatic pacing in a patient with high cervical spinal cord injury
title_full Phrenic nerve stimulation for diaphragmatic pacing in a patient with high cervical spinal cord injury
title_fullStr Phrenic nerve stimulation for diaphragmatic pacing in a patient with high cervical spinal cord injury
title_full_unstemmed Phrenic nerve stimulation for diaphragmatic pacing in a patient with high cervical spinal cord injury
title_sort phrenic nerve stimulation for diaphragmatic pacing in a patient with high cervical spinal cord injury
publishDate 2018
url https://repository.li.mahidol.ac.th/handle/123456789/27826
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