颈椎椎间孔切开术后右半膈肌麻痹的恢复
Resolution of Right Hemidiaphragm Paralysis following Cervical Foraminotomies.
作者信息
Singleton Neal, Bowman Matthew, Bartle David
机构信息
Orthopaedic Department, Tauranga Hospital, Cameron Road, Tauranga, New Zealand.
出版信息
Case Rep Orthop. 2018 Mar 4;2018:6195179. doi: 10.1155/2018/6195179. eCollection 2018.
INTRODUCTION
Hemidiaphragm paralysis secondary to phrenic nerve palsy is a well-recognised medical condition. There are few case reports in the literature documenting resolution of hemidiaphragm paralysis following cervical spine surgery. This case report documents our experience with one such case.
CASE PRESENTATION
A 64-year-old man was referred to the orthopaedic service with right hemidiaphragm paralysis. He had a previous history of asbestos exposure and polio and was initially seen and investigated by the respiratory physicians. He also reported intermittent neck pain and an MRI scan showed right-sided cervical foraminal stenosis. He underwent posterior right C3/4 and C4/5 foraminotomies, and by three months postoperatively, his hemidiaphragm paralysis had resolved and his shortness of breath had also improved.
CONCLUSION
This report documents a unique case of resolution of hemidiaphragm paralysis following posterior unilateral cervical foraminotomies.
引言
继发于膈神经麻痹的半膈肌麻痹是一种公认的医学病症。文献中鲜有病例报告记录颈椎手术后半膈肌麻痹得到缓解的情况。本病例报告记录了我们处理此类病例的经验。
病例介绍
一名64岁男性因右侧半膈肌麻痹转诊至骨科。他既往有石棉接触史和小儿麻痹症病史，最初由呼吸内科医生诊治并进行检查。他还自述间歇性颈部疼痛，MRI扫描显示右侧颈椎椎间孔狭窄。他接受了右侧C3/4和C4/5后路椎间孔切开术，术后三个月，其半膈肌麻痹得到缓解，呼吸急促症状也有所改善。
结论
本报告记录了一例后路单侧颈椎椎间孔切开术后半膈肌麻痹得到缓解的独特病例。
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