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Ann Clin Neurophysiol > Volume 9(1); 2007 > Article
Ann Clin Neurophysiol. 2007; 9(1): 19-22.
[Case Report] A Case of Critical Illness Polyneuropathy and Myopathy
So-Young Moon, Sang-Soo Lee, Sung-Hyun Lee, and Dong-Ick Shin
Copyright © 2007 The Korean Society of Clinical Neurophysiology
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Critical illness polyneuropathy (CIP) and critical illness myopathy (CIM) occur commonly in the patients who havebeen on mechanical ventilation for more than 1 week. Even in some patients diagnosed with CIP, an underlyingmyopathy may be the primary cause of the muscle weakness. The cormorbid status of CIP and CIM is called as criticalillness polyneuropathy and critical illness myopathy (CIPNM). We describe a 56-year-old man with acute quadriparesisand areflexia after systemic inflammatory response syndrome. The diagnosis of CIPNM is important to avoid unnecessaryinvestigations and unreasonably pessimistic prognosis. Electrophysiologic studies are essential for the diagnosis and forplanning further clinical management.
Key words: Critical illness myopathy, Critical illness polyneuropathy, Sepsis, Steroids
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