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Critical Illness Neuropathy and Myopathy
Ludwig Gutmann, MD;
Laurie Gutmann, MD
Arch Neurol. 1999;56:527-528.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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INTRODUCTION
Severe weakness with respiratory failure is a serious and common complication of critically ill patients in the intensive care unit setting. Recent studies have elucidated 2 entities characterized by severe weakness that occur as a result of these circumstances: critical illness neuropathy and critical illness myopathy. Both are the result of a serious illness, in contrast to weakness arising from a primary neurological disorder that results in admission to an intensive care unit (eg, myasthenic crisis, Guillain-Barré syndrome, rhabdomyolysis, or botulism).1 Critical illness neuropathy and myopathy are difficult to distinguish from each other on purely clinical grounds, although certain clues may make one more likely. Nerve conduction studies, needle electromyography, and muscle biopsy are often necessary to make a firm diagnosis.
CRITICAL ILLNESS NEUROPATHY
As initially described by Bolton et al2 in 1984, critical illness neuropathy is a sensorimotor polyneuropathy that is often a complication of sepsis . . . [Full Text of this Article]
CRITICAL ILLNESS MYOPATHY
CONCLUSIONS
From the Department of Neurology, Robert C. Byrd Health Sciences Center, Morgantown, WV.
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