A 45-year-old man developed ophthalmoplegia and subsequently multiple cranial nerve palsies in association with bibrachial paresis. Investigations revealed evidence of conduction block occurring at a very proximal location (i.e., the spinal roots) and seemingly sparing sensory fibers. Other causes w
Multifocal motor neuropathy presenting with respiratory failure
β Scribed by Kanokwan Boonyapisit; Bashar Katirji
- Publisher
- John Wiley and Sons
- Year
- 2000
- Tongue
- English
- Weight
- 94 KB
- Volume
- 23
- Category
- Article
- ISSN
- 0148-639X
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β¦ Synopsis
Multifocal motor neuropathy is a disorder characterized by slowly progressive asymmetrical limb weakness and multiple motor conduction blocks. We report a 56-year-old woman with this disorder who presented unusually with respiratory failure and who initially had absent responses to phrenic nerve stimulation bilaterally. The mechanism of the patient's respiratory failure may have been chronic conduction blocks in the phrenic nerves leading to diaphragmatic weakness.
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