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Critical illness neuropathy.

N Nagaratnam1, G Jamieson, K Chiu

  • 1Aged Care and Rehabilitation Services, Department of Medicine, Blacktown Hospital, NSW, Australia.

Neurorehabilitation and Neural Repair
|August 31, 2001
PubMed
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Critical illness neuropathy, a nerve disorder, often occurs with sepsis in intensive care units. Rehabilitation therapy improved function in two patients with sensorimotor axonal peripheral neuropathy, showing potential for recovery.

Area of Science:

  • Neurology
  • Intensive Care Medicine
  • Rehabilitation Therapy

Background:

  • Critical illness neuropathy and myopathy are common in intensive care units, often associated with septic syndrome.
  • Distinguishing between neuropathy and myopathy can be challenging due to overlapping symptoms.
  • Sensorimotor axonal peripheral neuropathy is a recognized complication in critically ill patients.

Observation:

  • Two patients presented with sensorimotor axonal peripheral neuropathy.
  • These patients underwent 5-6 weeks of active rehabilitation therapy.
  • Initial presentation indicated moderate to severe disability.

Findings:

  • Axonopathy typically has a poor prognosis with slow and incomplete recovery.
  • The described patients showed functional improvement following rehabilitation.

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  • Improvement was noted from moderate/severe disability to slight debility.

    • Implications:

    • Rehabilitation therapy can lead to functional recovery in patients with critical illness neuropathy.
    • Early and active rehabilitation may mitigate long-term disability.
    • Further research is needed on functional outcomes after rehabilitation for neuropathy in critically ill patients.