Acute Crit Care.  2018 Feb;33(1):51-56. 10.4266/acc.2016.00255.

Critical Illness Neuromyopathy Complicating Cardiac Surgery

• Baek WK
• Kim YS
• Kim JT
• Yoon BN

• KMID: 2436309
• DOI: http://doi.org/10.4266/acc.2016.00255

Abstract

Critical illness neuromyopathy (CINM) is a sporadically reported disease in the setting of an intensive care unit developing in the process of managing a critical illness. The disease primarily affects the motor and sensory axons and results in severe limb weakness rendering ventilator weaning extremely difficult. We report a case of CINM after cardiac valve surgery. Quadriplegia developed after the operation and resolved slowly over the following 2 months. The patient was discharged home free of neurologic symptoms.

Keyword

critical illness; electromyography; nerve conduction; neuromuscular diseases; rehabilitation; thoracic surgery

MeSH Terms

Axons
Critical Illness*
Electromyography
Extremities
Heart Valves
Humans
Intensive Care Units
Neural Conduction
Neurologic Manifestations
Neuromuscular Diseases
Quadriplegia
Rehabilitation
Thoracic Surgery*
Ventilator Weaning

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