Case Report
 
Diaphragmatic pacing as a treatment option for congenital central hypoventilation syndrome
Rodrigo A. S. Sardenberg1, Riad N. Younes1
1MD, Thoracic Surgery Department, Hospital Alemão Oswaldo Cruz Brazil.

Article ID: Z01201702CR10755RS
doi:10.5348/ijcri-201716-CR-10755

Address correspondence to:
Rodrigo Afonso Sardenberg
Rodrigo Claudio st
477, apt 6, 01532-020 – São Paulo

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How to cite this article
Sardenberg RAS, Younes RN. Diaphragmatic pacing as a treatment option for congenital central hypoventilation syndrome. Int J Case Rep Images 2017;8(2):101–104.


Abstract
The aim of this study is to present a 15-month-old child, case of congenital central hypoventilation syndrome successfully treated by diaphragmatic pacing. The diagnosis of this syndrome depends on the documentation of hypoventilation during sleep in the absence of primary neuromuscular, lung, cardiac, metabolic disease, or an identifiable brainstem lesion. While the cause of central congenital hypoventilation syndrome is not completely elucidated, the patients have mutations of the PHOX2B gene on chromosome 4. The diaphragmatic pacemaker currently represents an excellent treatment option, and the use of this device can provide reduction in upper airway infections and quality of life improvement.

Keywords: Diaphragm, Diaphragmatic paralysis, Pacemaker, Phrenic nerve


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Author Contributions
Rodrigo A. S. Sardenberg – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Riad N. Younes – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Rodrigo A. S. Sardenberg et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.