Rare case of divided phrenic nerve variation: a cadaveric case report

IF 1.2 4区 医学 Q3 ANATOMY & MORPHOLOGY
Olivia C. Silveri, Gabriella Dunemann, Christian Woo, Jacob Gutman, Joseph Palazzi, Jason Canestrino, Benita Luke, Jonathan A. Millard, Michael Breiner
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引用次数: 0

Abstract

The phrenic nerve innervates the respiratory diaphragm, the primary muscle active during ventilation. The canonical path of the phrenic nerve originates from the cervical spine at C3–C5 spinal nerves and travels inferiorly through the neck and thoracic cavity to reach the diaphragm. During a cadaver dissection, a variation of the phrenic nerve was discovered in a 93-year-old male specimen. A traditional origin of the phrenic nerve was noted; however, the nerve branched into medial and lateral components at the level of the superior trunk of the brachial plexus. The branches reconnected at the apex of the aortic arch and continued inferiorly to innervate the ipsilateral diaphragm. This case study describes a rare type of branching of the phrenic nerve and explores its potential impact on clinical procedures.

Abstract Image

膈神经分叉变异的罕见病例:尸体病例报告
膈神经支配呼吸膈肌,这是通气时活跃的主要肌肉。膈神经的典型路径源自颈椎的 C3-C5 脊髓,向下穿过颈部和胸腔到达膈肌。在一次尸体解剖中,在一个 93 岁的男性标本中发现了膈神经的变异。膈神经的起源是传统的,但在臂丛神经上干的水平,膈神经分支成内侧和外侧部分。这些分支在主动脉弓顶重新连接,并继续向下支配同侧膈肌。本病例研究描述了一种罕见的膈神经分支类型,并探讨了其对临床手术的潜在影响。
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来源期刊
Surgical and Radiologic Anatomy
Surgical and Radiologic Anatomy ANATOMY & MORPHOLOGY-RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
CiteScore
2.70
自引率
14.30%
发文量
183
审稿时长
4-8 weeks
期刊介绍: Anatomy is a morphological science which cannot fail to interest the clinician. The practical application of anatomical research to clinical problems necessitates special adaptation and selectivity in choosing from numerous international works. Although there is a tendency to believe that meaningful advances in anatomy are unlikely, constant revision is necessary. Surgical and Radiologic Anatomy, the first international journal of Clinical anatomy has been created in this spirit. Its goal is to serve clinicians, regardless of speciality-physicians, surgeons, radiologists or other specialists-as an indispensable aid with which they can improve their knowledge of anatomy. Each issue includes: Original papers, review articles, articles on the anatomical bases of medical, surgical and radiological techniques, articles of normal radiologic anatomy, brief reviews of anatomical publications of clinical interest. Particular attention is given to high quality illustrations, which are indispensable for a better understanding of anatomical problems. Surgical and Radiologic Anatomy is a journal written by anatomists for clinicians with a special interest in anatomy.
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