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Related Concept Videos

Spinal Nerves: Plexus I01:22

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Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
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Depolarizing blockers act on skeletal muscle fibers' membranes and induce their depolarization. Most depolarizing blockers have two quaternary N+ atoms that bind the nicotinic acetylcholine receptors and cause neuromuscular blockade within minutes.
Succinylcholine is the most commonly used depolarizing blocker. Chemically, it constitutes two molecules of acetylcholine joined together by an acetate methyl group. They act on the receptors in the same way as acetylcholine. Because...
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Related Experiment Video

Updated: Jan 4, 2026

A Murine Model of Cervical Spinal Cord Injury to Study Post-lesional Respiratory Neuroplasticity
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Reversible bilateral phrenic nerve paralysis.

Neil Maharaj1, Donald W Cockcroft1

  • 1Division of Respirology, Critical Care & Sleep Medicine, Department of Medicine, University of Saskatchewan, Royal University Hospital, 103 Hospital Drive, Saskatoon, Saskatchewan, S7N 0W8, Canada.

Respiratory Medicine Case Reports
|November 5, 2019
PubMed
Summary
This summary is machine-generated.

Bilateral phrenic nerve paralysis, a rare condition, can cause severe breathing issues. This case study shows a patient who recovered fully with ventilatory support, suggesting neuralgic amyotrophy as a likely cause.

Keywords:
Diaphragmatic paralysisNeuralgic amyotrophyPhrenic nerve paralysisSupine hypoxemia

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Area of Science:

  • Neurology
  • Pulmonology

Background:

  • Bilateral phrenic nerve paralysis is a rare, life-threatening condition often caused by trauma or neurological disorders.
  • It can lead to severe respiratory distress, particularly when lying down.

Observation:

  • A patient presented with rapid-onset bilateral phrenic nerve paralysis, experiencing severe positional dyspnea and oxygen desaturation when supine.
  • Initial nerve conduction studies suggested amyotrophic lateral sclerosis (ALS).

Findings:

  • The patient received nocturnal ventilatory support using bilevel positive airway pressure (BiPAP).
  • Over four years, the patient experienced a near-complete recovery of phrenic nerve function.
  • The clinical presentation and recovery pattern retrospectively indicated neuralgic amyotrophy as the most probable diagnosis.

Implications:

  • This case highlights the importance of considering neuralgic amyotrophy in cases of apparent bilateral phrenic nerve paralysis.
  • Prompt supportive care, including ventilatory assistance, can lead to significant recovery.
  • Early diagnosis and management are crucial for improving outcomes in patients with this rare condition.