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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/27826
Title: Phrenic nerve stimulation for diaphragmatic pacing in a patient with high cervical spinal cord injury
Authors: Bunpot Sitthinamsuwan
Sarun Nunta-aree
Mahidol University
Keywords: Medicine
Issue Date: 1-Dec-2009
Citation: Journal of the Medical Association of Thailand. Vol.92, No.12 (2009), 1691-1695
Abstract: 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.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=77249107081&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/27826
ISSN: 01252208
01252208
Appears in Collections:Scopus 2006-2010

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