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Case 23 - Critical Illness Polyneuropathy and Myopathy (CIPM)

from Peripheral Neuropathies

Published online by Cambridge University Press:  29 November 2024

Jessica E. Hoogendijk
Affiliation:
University Medical Center Utrecht
Marianne de Visser
Affiliation:
Amsterdam University Medical Center
Pieter A. van Doorn
Affiliation:
Erasmus MC, University Medical Center, Rotterdam
Erik H. Niks
Affiliation:
Leiden University Medical Center
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Summary

A 64-year-old man with hypertension had acute-onset dysarthria and left-sided ataxia. A haematoma in the left cerebellar hemisphere was diagnosed. When he developed severe headaches and vertical gaze paresis, the neurosurgeon was consulted and a decision to evacuate the haematoma was made. After surgery, he acquired pneumonia, necessitating artificial ventilation. Further complications included metabolic alkalosis, sepsis, and haemodynamic instability. One week after surgery, he developed a tetraparesis.

Type
Chapter
Information
Neuromuscular Disease
A Case-Based Approach
, pp. 135 - 136
Publisher: Cambridge University Press
Print publication year: 2024

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References

Suggested Reading

Kress, JP, Hall, JB. ICU-acquired weakness and recovery from critical illness. N Engl J Med 2014;370(17):16261635. doi: 10.1056/NEJMra1209390. PMID: 24758618.CrossRefGoogle ScholarPubMed
Vanhorebeek, I, Latronico, N, Van den Berghe, G. ICU-acquired weakness. Intensive Care Med 2020;46(4):637653. doi: 10.1007/s00134-020-05944-4. Epub 2020 Feb 19. PMID: 32076765; PMCID: PMC7224132.CrossRefGoogle ScholarPubMed

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