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Case Reports in Pediatrics
Volume 2017, Article ID 9724524, 4 pages
Case Report

Cervical Stimulation in the Treatment of Children with Lymphedema of All Four Extremities: A Case Report and Literature Review

1Clínica Godoy Research Group, Lusiadas University Center (UNILUS), Santos, SP, Brazil
2Clínica Godoy Research Group, Votuporanga Medicine School, Votuporanga, SP, Brazil
3Cardiovascular Surgery Department, The Medicine School in São José do Rio Preto (FAMERP) and CNPq (National Council for Research and Development), São José do Rio Preto, SP, Brazil
4Post-Graduation Stricto Sensu Course, The Medicine School in São José do Rio Preto (FAMERP) and Clínica Godoy Research Group, São José do Rio Preto, SP, Brazil

Correspondence should be addressed to José Maria Pereira de Godoy; moc.liamg@pmjyodog

Received 27 November 2016; Revised 9 February 2017; Accepted 13 February 2017; Published 28 February 2017

Academic Editor: Denis A. Cozzi

Copyright © 2017 Livia Maria Pereira de Godoy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Aim. The aim of this study is to report on the use of cervical stimulation as monotherapy to reduce swelling and normalize the size of limbs in two children with lymphedema of all four extremities. Case Presentation. One child also had hemifacial edema. In both cases, the mothers were trained to perform cervical stimulation under professional supervision. The cases of two girls, one of eight months and the other of six months, with primary congenital lymphedema are described. Outcome. After clinical diagnosis, the patients started treatment with cervical stimulation three times per week. The mothers were trained in cervical stimulation and, when the therapy team was confident about the mothers’ ability to perform the technique, the children began to be treated at home. The Godoy & Godoy cervical stimulation technique consists of around 20 to 30 light stroking movements per minute in the cervical region which stimulate the lymphatics. Perimetric measurements were made of the feet, legs, and the hands. Only two points (3 and 6 cm) along the dorsum of the feet and hands and points at 5 cm intervals up the legs starting at the ankle were considered. Today, the children are 5 and 6 years of age, without edema and with a normal life, without limitations, except with respect to precautions against injuries to the limbs and against infections particularly erysipelas. Conclusion. Cervical Lymphatic Therapy as monotherapy is an option in the treatment of primary congenital lymphedema.