ISSN:
1432-1238
Keywords:
Key words Critical illness
;
Diabetes
;
Sepsis
;
Neuromuscular disease
;
Neuropathies
;
Motor and sensory
;
Electromyography
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract 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 gram-negative 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.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s001340051095
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