The differentiation of peripheral effector neuron failure from acute brain stem dysfunction in a critically ill patient.

Bain, P G; Harwood, G; Holder, G E; Evans, B M · J Neurol Neurosurg Psychiatry · 1992

case_report · Level V

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Abstract

A patient appeared to be in coma following pneumococcal meningitis, an intracerebral haemorrhage, and a cardiac arrest. Late in the course of his illness neurophysiological investigations confirmed a proposal that he also had a fulminant acute demyelinating polyneuropathy which, for a period of five days, rendered the patient completely unresponsive. The patient recovered and is now working without any disability.

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