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We report serial electrophysiologic observations in a patient with acute bulbar and respiratory paralysis following ingestion of saxitoxin- contaminated clams.Prolonged distal motor and sensory latencies,slowed conduction velocities,and moderately diminished amplitudes were present at the outset.All values returned to normal over 5 days.These findings,the result of incomplete sodium channel blockage,distinguish paralytic shellfish poisoning from most other acute paralytic illnesses. |
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bulbar palsy,acute
clam poisoning
emergencies,neurologic
fish poisoning
flaccid paralysis
mortality
nerve conduction studies
neurotoxin
ophthalmoplegia
ophthalmoplegia,total
paralysis
paralysis,acute
paralysis,acute areflexic
prognosis
pupil,abnormality in neurologic disorders
pupil,dilated and fixed,bilateral
quadriplegia
respiratory failure
saxitoxin
shell fish poisoning
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