Демиелинизирующее Поражение Диафрагмального Нерва Как Причина Дыхательной Недостаточности У Ребенка Первого Года Жизни: Клинический Случай

Abstract

INTRODUCTION: Impaired neuromuscular transmission is one of the rarest causes of acute respiratory failure in children. OBJECTIVE: Demonstration of a clinical case of acute respiratory failure in a child of the first year of life against the background of a demyelinating lesion of the diaphragmatic nerve. MATERIALS AND METHODS: A retrospective analysis of the peculiarities of the course of the disease in a child of nine months requiring long-term artificial ventilation of the lungs. RESULTS: The article describes the stages of diagnostic search for the causes of acute cerebral and respiratory failure of unclear origin in a child of the first year of life, special attention is paid to differential diagnosis, which made it possible to identify the primary pathological process. CONCLUSIONS: A distinctive feature of this case was the severe course of acute cerebral and respiratory failure against the background of primary demyelinating damage to the diaphragmatic nerves on both sides, which is casuistic, especially in pediatric practice, but should be taken into account in the absence of other obvious causes of acute respiratory failure.