Cranial Neuropathies and Neuromuscular Weakness: A Case of Mistaken Identity
نام عام مواد
[Article]
نام نخستين پديدآور
Adams, Daniel Z.; King, Andrew; Kaide, Colin
یادداشتهای مربوط به خلاصه یا چکیده
متن يادداشت
We describe a case of wound botulism initially thought to represent Miller-Fisher variant Guillain-Barré syndrome (MFS). Botulism classically presents with the so-called "four D's" (diplopia,dysarthria, dysphagia, dry mouth) with symmetric, descending weakness. MFS presents with a triadof limb-ataxia, areflexia, and ophthalmoplegia, with variable cranial nerve and extremity involvement.The distinction can be difficult but is important as early initiation of botulinum antitoxin is associatedwith improved patient outcomes in cases of botulism. Furthermore, it is important to recognizeintravenous drug use as a risk factor in the development of botulism, especially given an increase ininjection drug use.
مجموعه
تاريخ نشر
2017
عنوان
Clinical Practice and Cases in Emergency Medicine
شماره جلد
1/3
نام شخص به منزله سر شناسه - (مسئولیت معنوی درجه اول )