This chapter explores the approach to acute neuromuscular weakness in the ICU, as well as selected disorders. As with any acute presentation, an organized approach is essential. Understanding the limitations of various tests is also critical (since there is considerable confusion about this).
The IBCC chapter is located 👉 here.
- The podcast & comments are below.
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id like to add snake envenomation and necrotizing myopathy to the ddx list :). Currently have a *hypothetical* patient presented like a GBS v MG patient transfer from OSH for “neurology eval”… cytoalbuminologic dissociation, high protein in csf, cauda equina nerve root uptake on initial C+ L spine MRI, diffusely weak, some LE reflexes were weakly present, ptosis w + ice pack test, bulbar weakness…massive NM w/u negative, neg GM ab, neg musk, neg AchRab, neg infectious w/u but ID would not approve botulism testing (patient had no wounds, interestingly enough his dad did home can food but patient never… Read more »