1887
Volume 2007, Issue 1
  • ISSN: 0253-8253
  • E-ISSN: 2227-0426

ملخص

Recently it has been found that many critically ill patients develop secondary neuromuscular disorders following admission to intensive care units (ICU). One of these is critical illness polyneuropathy (CIP), a widespread symmetrical disorder affecting the peripheral nervous system and often associated with sepsis and multi-organ dysfunction. Two percent of all intensive care patients and as many as 80% of septic patients develop critical illness polyneuropathy which leads to a considerably increased risk of in-hospital mortality. The exact etiology of the condition is not known but various risk factors, differential diagnosis, treatment, management and prognosis are discussed in this report of ci woman who, following caesarian section, developed CIP, septic shock, multi-organ failure and subsequently died.

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References

  1. Bleck TP, Smith MC, Pierre- Louise SJ, et al., Neurological complications of critical medical illnesses. Crit Care Med. 1993; 21::9810.
    [Google الباحث العلمي]
  2. Hund E. Critical illness polyneuropathy. Curr Opinion Neurol. 2001; 14::649653.
    [Google الباحث العلمي]
  3. Van Mook W, Hulse We-Evers R. Critical illness polyneuropathy. Curr Opinion in Critical care. 2002; 8::302310.
    [Google الباحث العلمي]
  4. De letter M, Schmitz , Visser L, et al., Risk factors for development of polyneuropathy and myopathy in critical ill patients. Critical Care med. 2001; 29::22812286.
    [Google الباحث العلمي]
  5. Waldhausen E, Kesser G, Schulz B, Upper P. weaning failure due to acute neuromuscular disease. Critical Care Med. 1989; 17::594599.
    [Google الباحث العلمي]
  6. De Jonghe B, Sharshar T, Lefaucher JP, et al., parasis acquired in intensive care unit. A prospective multicentre study. JAMA. 2002; 288::28592867.
    [Google الباحث العلمي]
  7. Garnacho-Montero J, Madrazo-Osuna J, Garcia-Garmendia JL. Critical illness polyneuropathy: risk factors and clinical consequences. A cohort study in septic patients. Intensive Care Med. 2001; 27:12851296.
    [Google الباحث العلمي]
  8. Boltan C, Laverty D, Brown J, Witt N, et al., Critical illness polyneuropathy, electrophysiological studies and differentiation from Gullian-Barre syndrome. Jr Neurol neurosurgery andpschychatry. 1986; 49::563573.
    [Google الباحث العلمي]
  9. Witt NJ, Zochodne DW, Bolton CF, et al., peripheral nerve function in sepsis and multi organ failure. Chest. 1991; 99::176184.
    [Google الباحث العلمي]
  10. Ziko UA, Zipco HT, Bolton CF. clinical and electrophysiological finding in critical illness polyneuropathy. Jr Neurol Sci. 1998; 158::186193.
    [Google الباحث العلمي]
  11. Bolton CF, Young GB, Zochodne DW, Neurological complication of sepsis. 1993; 33::94100.
    [Google الباحث العلمي]
  12. Ziko UA, Zipco HT, Bolton CF. clinical and electrophysiological finding in critical illness polyneuropathy. Jr Neurol Sci. 1998; 158::186193.
    [Google الباحث العلمي]
  13. Paul Marino, ed. ICU book. London: Williams&Wilkins 1998:p.798.
    [Google الباحث العلمي]
  14. Van den Bergh G, Wouters P, weaker F. Intensive insulin therapy in critically ill patients. N Eng Jr Med. 2001;:345367.
    [Google الباحث العلمي]
  15. Mohr M, Englisch L, Roth A, Burchardi H, Zielmann S. Effect of early treatment with immmunoglobin on critical illness polyneuropathy following multiorgan failure and gram negative sepsis. Intensive Care Med. 1997; 23::11441149.
    [Google الباحث العلمي]
  16. Fletcher S, Kennedy D, Ghose I, et al., persistent neuromuscular and neurophysiologic abnormalities in long term survivors of prolonged critical illness. Critical Care Med. 2003; 31::10121016.
    [Google الباحث العلمي]
  17. Leijten FS. Deweerd AW.Crritical illness polyneuropathy electrophysiological studies, definition and pathophysiology. Clinic Neurology and neurosurgery. 1994; 96::1019.
    [Google الباحث العلمي]
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  • نوع المستند: Case Report
الموضوعات الرئيسية critical illness polyneuropathyHELLP syndromemulti-organ failure and sepsis

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