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Acute Quadriplegic Myopathy:A Complic of Treat with Steroids, Nondepolarizing Blocking Agents, or Both
Neurol 42:2082-2087, Hirano,M.,et al, 1992
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Article Abstract
We studied two patients who were given high-dose intravenous steroid therapy and were intubated for status asthmaticus.Both became quadriplegic and wasted within 2 weeks.EMG had myopathic abnormalities.Muscle biopsy revealed severe atrophy of most muscle fibers,with disorganization of myofibrils and selective loss of thick(myosin)filaments.Immunohistologic stains for myosin isoforms confirmed the decrease or absence of this protein.Both patients clinically improved over several months.
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adverse drug reaction
asthma
drug induced neurologic disorders
muscle biopsy
myopathy
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myopathy,steroid induced
neuromuscular blockade
quadriplegia
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