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Critical Illness Neuromyopathy Complicating Cardiac Surgery
Wan Ki Baek1, Young Sam Kim1, Joung Taek Kim1
1Department of Thoracic and Cardiovascular Surgery, Incheon, Korea.
Acute and Critical Care
|November 15, 2019
Summary
Critical illness neuromyopathy (CINM) is a rare intensive care unit complication affecting motor and sensory nerves. This case report details recovery from severe quadriplegia following cardiac valve surgery.
Area of Science:
- Neurology
- Intensive Care Medicine
- Nephrology
Background:
- Critical illness neuromyopathy (CINM) is a condition affecting intensive care unit patients.
- It impacts motor and sensory axons, causing significant limb weakness and difficulty with ventilator weaning.
Purpose of the Study:
- To report a case of CINM following cardiac valve surgery.
- To describe the clinical presentation, management, and outcome of this rare condition.
Main Methods:
- Case report of a patient who developed CINM after cardiac valve surgery.
- Clinical observation of neurological symptoms and recovery.
Main Results:
- The patient developed quadriplegia post-operatively.
- Neurological symptoms gradually resolved over two months.
- The patient was discharged without neurological deficits.
Conclusions:
- CINM can occur after cardiac valve surgery.
- Complete recovery from CINM is possible with time.
- This case highlights the importance of recognizing and managing CINM in critical care settings.
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