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[Disseminated polyneuropathy after coma].

F Grahmann1, B Neundörfer, F Erbguth

  • 1Neurologische Klinik, Universität Erlangen-Näunberg.

Deutsche Medizinische Wochenschrift (1946)
|October 27, 1989
PubMed
Summary
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Intensive care patients can develop acute polyneuropathy due to multiple factors. This nerve damage, seen in trauma and meningitis cases, requires careful management.

Area of Science:

  • Neurology
  • Critical Care Medicine

Background:

  • Acute polyneuropathy can complicate intensive care unit (ICU) stays.
  • Understanding the causes and manifestations of critical illness polyneuropathy (CIP) is crucial for patient outcomes.

Observation:

  • Four patients (three with severe multiple trauma, one with bacterial meningoencephalitis) developed acute polyneuropathy during ICU treatment.
  • Clinical presentations varied, including distal paraparesis, cranial nerve deficits, tetraplegia, and asymmetrical sensorimotor deficits.
  • All patients experienced respiratory failure, malnutrition, septic fevers, and acute renal failure requiring prolonged hemodialysis.

Findings:

  • Electrophysiological tests confirmed neurogenic damage in all affected patients.
  • The polyneuropathy appeared to be of multifactorial origin, linked to the patients' critical illnesses and treatments.

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Implications:

  • This study highlights the potential for severe neurological complications in critically ill patients.
  • Recognizing and investigating acute polyneuropathy in the ICU setting is essential for timely diagnosis and management.
  • Multifactorial etiologies underscore the complexity of critical illness polyneuropathy and the need for comprehensive care.