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Forschungsdatenbank PMU-SQQUID

[Disseminated polyneuropathy after coma].
Grahmann, F; Neundörfer, B; Erbguth, F;
Dtsch Med Wochenschr. 1989; 114(43):1658-1661
Fallberichte

PMU-Autor/inn/en

Erbguth Frank

Abstract

An acute polyneuropathy developed during intensive-care treatment of three young men who had sustained severe multiple traumas and of one woman with bacterial meningoencephalitis. In the first case there was a predominantly distal paraparesis of the legs; in the second, flaccid neurological deficits occurred particularly in the areas of the left ulnar, peroneal and tibial nerves combined with paralysis of cranial nerves IX, X and XII. A symmetrical sensorimotor polyneuropathy with tetraplegia and cranial nerve deficits occurred in the third case, and an asymmetrical sensorimotor polyneuropathy in the female patient. In all four patients electrophysiological tests demonstrated the pattern of neurogenic damage. All patients had respiratory failure, malnutrition, septic fevers and acute renal failure requiring haemodialysis for two to five weeks. It is assumed that the polyneuropathy was of multifactorial genesis.


Useful keywords (using NLM MeSH Indexing)

Adult

Coma/complications*

Cranial Nerve Diseases/etiology

Female

Glossopharyngeal Nerve

Humans

Hypoglossal Nerve

Male

Meningoencephalitis/complications

Middle Aged

Multiple Trauma/complications

Nervous System Diseases/etiology*

Paralysis/etiology

Peripheral Nervous System Diseases/etiology

Quadriplegia/etiology

Vagus Nerve