Diaphragmatic pacing to facilitate ventilator weaning in neuromyelitis optica-associated respiratory failure

Rahmlow, Megan R.; Boylan, Khrista; Freeman, William D.

doi:10.1016/j.msard.2012.03.005

Cited by 4 publications

(3 citation statements)

References 5 publications

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“…Plasmapheresis has been reported to result in clinical improvement of phrenic nerve palsy as well as normalisation of the diaphragmatic excursion on fluoroscopy 8. Moreover, diaphragmatic pacing has even been used successfully in patients with respiratory failure secondary to severe central nervous system demyelination, including NMO 11. In our case, however, the phrenic nerve palsy persisted despite improvement in her neurological condition on plasmapheresis and immunosuppression.…”

Section: Discussionmentioning

confidence: 56%

Neuromyelitis optica with unilateral diaphragmatic paralysis

et al. 2018

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In this case report, we describe the course of a female patient who is known to have neuromyelitis optica (NMO) and developed left hemiparesis and unilateral diaphragmatic paralysis. She was initially treated with intravenous methylprednisolone 1 g daily for 5 days without improvement. Subsequently, she received five sessions of a plasmapheresis. Her hemiparesis had improved after few days. however, the phrenic nerve palsy remained.

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Section: Discussionmentioning

confidence: 56%

Neuromyelitis optica with unilateral diaphragmatic paralysis

et al. 2018

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“…Plasmapheresis and/or intravenous immunoglobulins are used in steroid-refractory cases [ 7 ]. Diaphragmatic pacing has also been reported to successfully wean patient with ARF due to NMO requiring mechanical ventilation [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Acute Respiratory Failure due to Neuromyelitis Optica Treated Successfully with Plasmapheresis

Zantah

Coyle

Datta

2016

Case Reports in Pulmonology

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Neuromyelitis Optica (NMO) is a demyelinating autoimmune disease involving the central nervous system. Acute respiratory failure from cervical myelitis due to NMO is known to occur but is uncommon in monophasic disease and is treated with high dose steroids. We report a case of a patient with NMO who developed acute respiratory failure related to cervical spinal cord involvement, refractory to pulse dose steroid therapy, which resolved with plasmapheresis.

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“…В ряде случаев для возможности проведе ния активной физической реабилитации требуются предварительные ортопедические или хирургиче ские вмешательства. Описан клинический случай им плантации диафрагмального пейсмейкера пациенту с ОНМ и нейрогенными причинами нарушения ды хания в результате распространенного поражения шейного и грудного отделов спинного мозга, что по зволило снять потребность в проведении искусствен ной вентиляции легких и значительно расширить объем реабилитационных мероприятий [28].…”

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