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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | Čes. a slov. Neurol. Neurochir., 65/98, 2002, No. 6, p. 395–400. |
Electrophysiological
Findings in Critically Ill Patients with Muscular Weakness Kunc P.1, Maňák J.2, Schreiber M.1, Matulová H.1, Pára F.1, Waberžinek G.1 1Neurologická klinika LF UK a FN, Hradec Králové 2Klinika gerontologická a metabolická LF UK a FN, Hradec Králové |
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Summary: Polyneuropathy of critically ill patients (critical illness polyneuropathy – CIP) and critical illness
myopathy (CIM) were till recently relatively omitted nosological units. Recent works indicates their
relatively frequent incidence in patients in a critical condition at intensive care units along with the
concurrent presence of multiorgan failure (MOF). The objective of the authors’ work who present their
own group of 25 patients with clinically significant muscular weakness is to make readers familiar with
electromyographic findings (EMG) which indicate the frequent concurrent incidence of CIP and CIM.
It is however difficult to differentiate these units by standard EMG methods. A new possibility how to
differentiate them is the method of direct muscle stimulation. Assessment of the correct diagnosis is
essential for assessment of an adequate prognosis and ensuing period and intensity of treatment.
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