Critical Illness Polyneuromyopathy: A Case Report
2 Department of Physical Medicine and Rehabilitation, Gülhane Military Medical Academy, Turkish Armed Forces Rehabilitation Center, Ankara, Turkey
3 Gülhane Askeri Tıp Akademisi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Ankara
4 Gülhane Askeri Tıp Akademisi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Türk Silahlı Kuvvetleri Rehabilitasyon Merkezi, Ankara, Türkiye
Sepsis, multi-organ failure and steroid use in critically ill patients admitted to the intensive care unit may expose peripheral nerve and muscle dysfunctions named as critical illness polyneuropathy (CIP) and critical illness myopathy (CIM). CIP is an acute axonal sensory-motor polyneuropathy, mainly affecting the lower limb nerves of critically ill patients. CIM is a comprehensive term to describe those myopathies with pure functional impairment and normal histology, as well as those with atrophy and necrosis. The underlying physiopathology of both diseases has not yet been clearly defined. They often exist simultaneously, making differential diagnosis was very difficult even not possible. Many authors describe this association as critical illness polyneuromyopathy (CIPM). In this article we presented a patient who CIPM developed. Also major clinical, physiopathologic and diagnostic features of the disease are discussed.
Keywords : Polyneuropathy, critical illness