The Journal of the Association of Physicians of India · 2025
Neurophysiology of Acute Quadriparesis.
СтатьяКлинический случайНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Bhandari Ankkita S, Khanna Laxmi, Kumar Praveen, Gouriedevi Mandaville
Аннотация
BACKGROUND: Acute respiratory failure is a life-threatening emergency requiring intensive care. Nerve conduction and repetitive nerve stimulation studies are invaluable to solve dilemmas related to the diagnosis and management. The results of these tests are available immediately, and prompt treatment can be given as illustrated in this case.
CLINICAL DESCRIPTION: A 7-year-old boy presented in circulatory shock and impending respiratory failure to the casualty without any preceding illness.
MANAGEMENT AND OUTCOME: The clinical picture, blood reports, and neurophysiological findings of repetitive compound muscle potentials on nerve conduction and a progressive decremental pattern on repetitive nerve stimulation were suggestive of acute organophosphate poisoning. This led to prompt institution of appropriate treatment comprising Ryle's tube aspiration, respiratory support, and administration of neostigmine and pralidoxime. The diagnosis was later confirmed by low serum pseudocholinesterase levels.
CONCLUSION: This case exemplifies the importance of neurophysiological study in the diagnosis of organophosphate poisoning.
CLINICAL DESCRIPTION: A 7-year-old boy presented in circulatory shock and impending respiratory failure to the casualty without any preceding illness.
MANAGEMENT AND OUTCOME: The clinical picture, blood reports, and neurophysiological findings of repetitive compound muscle potentials on nerve conduction and a progressive decremental pattern on repetitive nerve stimulation were suggestive of acute organophosphate poisoning. This led to prompt institution of appropriate treatment comprising Ryle's tube aspiration, respiratory support, and administration of neostigmine and pralidoxime. The diagnosis was later confirmed by low serum pseudocholinesterase levels.
CONCLUSION: This case exemplifies the importance of neurophysiological study in the diagnosis of organophosphate poisoning.