conclusions this study highlights the close link between the role of the phrenic nerve and pulmonary function, such that the use of this nerve as a transfer donor leads to spirometric impairments. results all patients regained biceps power to m3 strength or above. none of our patients experienced pulmonary problems or respiratory complaints, but a significant reduction of spirometric parameters...

Lightning injury is the second most common cause of weather-related deaths in the United States. Despite the several neurological complications such as polyneuropathy, myelopathy, spinal cord injury, motor neuron disease due to the lightning-induced injury, there is no documented case of unilateral diaphragmatic paralysis. We describe the case of a patient with a history of lightning strike at ...

severe inflammation after cardiopulmonary bypass with the vasculitis of the acral extremity and vertebro-basilar arterial system leads to the locked-in syndrome and blue toe syndrome. in broad terms, systemic, idiopathic, and environmental factors provoke syndromes that present with digital discoloration or the blue toe syndrome. painful digital discoloration, accompanied by ulceration, suggest...

the optimal treatment method for right ventricular failure after valve surgery complicated by a low cardiac output has not been determined, although several case reports have been published on patients with ventricular failure and arrhythmia who were bridged to cardiac transplantation using biventricular or left ventricular assist devices. this case series illustrates successful circulatory sup...

major complications of heart transplantation include graft rejection, infection, graft arteriosclerosis, malignancy, and drug toxicity. among these complications, infections and thrombophilic disorders are of particular interest owing to their major contribution to morbidity and mortality among heart transplantation patients. thrombophilic disorders are caused by imbalance between hypercoagulat...

Arthroscopic rotator cuff repair is one of the most painful surgical procedures; patients complain pain especially during first 48 hours postoperatively. Pain management an essential goal to reduce demand for analgesic agents and patient discomfort. Various methods have been introduced arthroscopic repair, including continuous arthroscopy-guided suprascapular nerve blocks (SSNB) interscalene bl...

Objectives: M-mode ultrasound evaluation of diaphragm in various clinical conditions that affect Diaphragm movement. To apply M-mode ultrasound technique as a useful imaging modality in clinical practice. Materials and methods: Cross sectional study over a period of 6 months was done in 185 patients with clinical conditions that affects diaphragm. Diaphragmatic excursion from reference baseline...

OBJECTIVES To assess the possibilities of reinnervation in a paralyzed hemidiaphragm via an anastomosis between phrenic nerve and inferior laryngeal nerve in rabbits. Reinnervation of a paralyzed diaphragm could be an alternative to treat patients with ventilatory insufficiency due to upper cervical spine injuries. MATERIAL AND METHOD Rabbits were divided into five groups of seven rabbits eac...

BACKGROUND Diaphragmatic excursion, lung function, exercise performance, and clinical symptoms have not been previously described in patients after phrenic nerve transfer (PNT) and/or multiple intercostal nerve transfer (MIT) for the repair of avulsed brachial plexus injury (ABPI) to prevent functional musculoskeletal impairment in the shoulder. SETTING A university-based hospital. METHODS ...

Because of metastatic pain resistant to medical treatment after left pneumonectomy for squamous cell carcinoma, a 46-year-old patient underwent a bilateral cervical cordotomy at the C1-C2 anterolateral level, in two phases. The second intervention was followed by severe ventilatory problems requiring mechanical ventilation, and at a later stage, the implantation of a phrenic pacemaker on the ri...