Journal article
Diaphragm paralysis caused by transverse cervical artery compression of the phrenic nerve: The Red Cross syndrome
Clinical neurology and neurosurgery, v 114(5), pp 502-505
01 Jun 2012
PMID: 22366245
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: The etiology of diaphragm paralysis is often elusive unless an iatrogenic or traumatic injury to the phrenic nerve can be clearly implicated. Until recently, there has been little interest in the pathophysiology of diaphragm paralysis since few treatment options existed.
Methods: We present three cases of symptomatic diaphragm paralysis in which a clear clinico-pathologic diagnosis could be identified, specifically a vascular compression of the phrenic nerve in the neck caused by a tortuous or adherent transverse cervical artery.
Results: In two patients the vascular compression followed a preceding traction injury, whereas in one patient an inter-scalene nerve block had been performed. Following vascular decompression, all three patients regained diaphragmatic motion on fluoroscopic chest radiographs, and experienced a resolution of respiratory symptoms.
Conclusion: We suggest that vascular compression of the phrenic nerve in the neck may occur following traumatic or iatrogenic injuries, and result in symptomatic diaphragm paralysis. (C) 2012 Elsevier B.V. All rights reserved.
Metrics
Details
- Title
- Diaphragm paralysis caused by transverse cervical artery compression of the phrenic nerve: The Red Cross syndrome
- Creators
- Matthew R. Kaufman - Institute for Advanced ReconstructionLourens J. Willekes - Eastern Thorac Surg, Red Bank, NJ 07701 USAAndrew I. Elkwood - Institute for Advanced ReconstructionMichael I. Rose - Institute for Advanced ReconstructionTushar R. Patel - Institute for Advanced ReconstructionRussell L. Ashinoff - Institute for Advanced ReconstructionAlan R. Colicchio - Jersey Shore University Medical Center
- Publication Details
- Clinical neurology and neurosurgery, v 114(5), pp 502-505
- Publisher
- Elsevier
- Number of pages
- 4
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000303946600014
- Scopus ID
- 2-s2.0-84860246163
- Other Identifier
- 991021930906204721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Clinical Neurology
- Surgery