Tags

Type your tag names separated by a space and hit enter

Reversible motor and sensory peripheral neuropathy in a patient following acute carbon monoxide intoxication.
Electromyogr Clin Neurophysiol 2005 Jan-Feb; 45(1):19-21EC

Abstract

Central nervous system complications following carbon monoxide (CO) poisoning are well reported in the literature but peripheral neuropathy is under-recognized. We report the clinical and electrophysiological studies of the transient peripheral neuropathy developed in a patient following acute CO intoxication. A 27-year-old woman was found unconscious with severe hypoxia and 34.5% serum level of carboxyhemoglobin. She progressed favourably after hyperbaric oxygen therapy. Neurological examination revealed bilateral pyramidal signs. The patient referred weakness and sensory abnormalities in her right foot. An electroencephalogram did not show focal abnormalities and brain magnetic resonance was normal. Needle electromyography of weak right tibialis anterior muscle showed a reduced recruitment pattern but no spontaneous activity. Electroneurographic evaluation revealed findings compatible with a motor and sensory peripheral neuropathy in nerves of both lower limbs. In few months complete clinical recovery was reached, and the electroneurography showed normality a year later Reversible peripheral neuropathy should be considered as a possible neurological complication following acute CO poisoning. The electrophysiological studies were essential for its diagnosis and follow up.

Authors+Show Affiliations

Service of Clinical Neurophysiology, University Hospital Marqués de Valdecilla, Avda de Valdecilla s/n, 39008-Santander, Spain. nflgga@humv.esNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15773259

Citation

García, Antonio, and Iratxe Maestro. "Reversible Motor and Sensory Peripheral Neuropathy in a Patient Following Acute Carbon Monoxide Intoxication." Electromyography and Clinical Neurophysiology, vol. 45, no. 1, 2005, pp. 19-21.
García A, Maestro I. Reversible motor and sensory peripheral neuropathy in a patient following acute carbon monoxide intoxication. Electromyogr Clin Neurophysiol. 2005;45(1):19-21.
García, A., & Maestro, I. (2005). Reversible motor and sensory peripheral neuropathy in a patient following acute carbon monoxide intoxication. Electromyography and Clinical Neurophysiology, 45(1), pp. 19-21.
García A, Maestro I. Reversible Motor and Sensory Peripheral Neuropathy in a Patient Following Acute Carbon Monoxide Intoxication. Electromyogr Clin Neurophysiol. 2005;45(1):19-21. PubMed PMID: 15773259.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Reversible motor and sensory peripheral neuropathy in a patient following acute carbon monoxide intoxication. AU - García,Antonio, AU - Maestro,Iratxe, PY - 2005/3/19/pubmed PY - 2005/5/18/medline PY - 2005/3/19/entrez SP - 19 EP - 21 JF - Electromyography and clinical neurophysiology JO - Electromyogr Clin Neurophysiol VL - 45 IS - 1 N2 - Central nervous system complications following carbon monoxide (CO) poisoning are well reported in the literature but peripheral neuropathy is under-recognized. We report the clinical and electrophysiological studies of the transient peripheral neuropathy developed in a patient following acute CO intoxication. A 27-year-old woman was found unconscious with severe hypoxia and 34.5% serum level of carboxyhemoglobin. She progressed favourably after hyperbaric oxygen therapy. Neurological examination revealed bilateral pyramidal signs. The patient referred weakness and sensory abnormalities in her right foot. An electroencephalogram did not show focal abnormalities and brain magnetic resonance was normal. Needle electromyography of weak right tibialis anterior muscle showed a reduced recruitment pattern but no spontaneous activity. Electroneurographic evaluation revealed findings compatible with a motor and sensory peripheral neuropathy in nerves of both lower limbs. In few months complete clinical recovery was reached, and the electroneurography showed normality a year later Reversible peripheral neuropathy should be considered as a possible neurological complication following acute CO poisoning. The electrophysiological studies were essential for its diagnosis and follow up. SN - 0301-150X UR - https://www.unboundmedicine.com/medline/citation/15773259/Reversible_motor_and_sensory_peripheral_neuropathy_in_a_patient_following_acute_carbon_monoxide_intoxication_ L2 - http://www.diseaseinfosearch.org/result/4890 DB - PRIME DP - Unbound Medicine ER -