Reversible tetraplegia due to polyneuropathy in a diabetic patient with hyperosmolar non-ketotic coma

被引:5
作者
Kennedy, DD [1 ]
Fletcher, SN
Ghosh, IR
Coakley, JH
Monson, JP
Hinds, CJ
机构
[1] St Bartholomews Hosp, Dept Intens Care, London EC1A 7BE, England
[2] St Bartholomews Hosp, Dept Neurophysiol, London EC1A 7BE, England
[3] St Bartholomews Hosp, Div Metab, London EC1A 7BE, England
关键词
critical illness; diabetes; sepsis; neuromuscular disease; neuropathies; motor and sensory; electromyography;
D O I
10.1007/s001340051095
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Critical illness polyneuromypathy has not previously been reported as a complication of diabetic coma. We describe a patient with hyperosmolar non-ketotic coma (HONK) complicating gramnegative sepsis in whom persistent coma and profound tetraplegia caused considerable concern. Although, initially, it was feared that the patient had suffered a central neurological complication such as stroke or cerebral oedema, a diagnosis of critical illness motor syndrome (CIMS) was subsequently confirmed neurophysiologically. Profound limb weakness associated with HONK is not necessarily due to a catastrophic cerebral event, rather it may be a result of CIMS, which has an excellent prognosis for full neurological recovery.
引用
收藏
页码:1437 / 1439
页数:3
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