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Delayed diagnosis of pediatric critical illness polyneuropathy and myopathy
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Delayed diagnosis of pediatric critical illness polyneuropathy and myopathy
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Journal Article
Delayed diagnosis of pediatric critical illness polyneuropathy and myopathy
2022
Overview
[...]muscle weakness and decreased deep tendon reflexes were only first observed on POD 30. Medical Research Council (MRC) scores were as follows (right/left): shoulder abduction 1/3, elbow flexion 1/3, hip flexion 0/2, knee extension 0/2. Table 1 Nerve conduction studies Motor nerves Latency (ms) CMAP Amplitude (distal / proximal) (mV) MCV (m/s) Median nerve 3.7 (<2.6) 2.8/2.1 (>8.8) 53.8 (>57.2) Tibial nerve 4.9 (<3.6) 0.51/0.34 (>15.8) 45.4 (>48.2) Sensory nerves Latency (ms) SNAP Amplitude (mV) SCV (m/s) Median nerve 2.4 (<2.1) 7.4 (>20.5) 60.1 (>43.7) Sural nerve NE CMAP, compound muscle action potential; MCV, motor conduction velocity; NE, not evoked; SNAP, sensory nerve action potential. ( ) indicates normal range.
Publisher
John Wiley & Sons, Inc
