Clinical Reasoning: A man with rapidly progressive weakness and respiratory failure

Autor: Denise Xu, Kathleen Murphy, Ramani Balu, Jon Rosenberg
Rok vydání: 2018
Předmět:
Zdroj: Neurology. 91(7)
ISSN: 1526-632X
Popis: A 70-year-old man presented in late summer with rapidly progressive weakness and respiratory failure. He was in his usual state of health until 1 week prior to presentation, when he developed malaise, headache, and fevers, followed by right leg weakness, prompting admission to a local hospital. Over the next 3 days, his weakness progressed to involve his right arm, then his extraocular, facial, and bulbar muscles, followed by his left arm and leg. On the fourth day of hospitalization (2 weeks after the onset of constitutional symptoms), he was intubated due to an inability to clear oral secretions and was transferred to our institution.
Databáze: OpenAIRE