Traynelis, "Rapidly progressive quadriparesis
heralding disseminated coccidioidomycosis in an immunocompetent patient," Journal of Clinical Neuroscience, vol.
Trask, "Unusual foreign body causing quadriparesis
: case report," Neurosurgery, vol.
Our patient presented with acute onset flaccid quadriparesis
without sensory, cranial nerve, bladder, bowel, or respiratory muscle involvement but with a history of similar recurrent episodes in the 5 years previous to the current admission.
The clinical presentation of hypokalemic quadriparesis
with respiratory failure as the first manifestation of pSS is very atypical.
Keywords: Acute intermittent porphyria; motor polyneuropathy, progressive quadriparesis
, peripheral nervous system
Rajasekaran, "Renal tubular acidosis due to Sjogren's syndrome presenting as hypokalemic quadriparesis
: a report of two cases," Indian Journal of Nephrology, vol.
Although our patient experienced abdominal pain with nausea and vomiting, these symptoms had dissipated by the time she presented with quadriparesis
. This phenomenon has been described by Meissner and coworkers (4), who caution that in some patients the disappearance of pain is a harbinger of paralysis and not indicative of improvement.
[12,16] Although an MRI scan was not performed, the patient did not have pseudobulbar paralysis or spastic quadriparesis
, which are classic features of myelinolysis.
He was diagnosed with, among other things, spastic quadriparesis
(a form of cerebral palsy), developmental delays, ventricular asymmetry, delayed myelination, microcephaly, aortic stenosis, malformed bicuspid valve, tracheomalacia and impaired visual function.
In conclusion, AMAN is one of the subtypes of GBS and should be considered in the differential diagnosis of acute quadriparesis
, even when there are brisk reflexes and cerebrospinal fluid examination, electrophysiological, and seroimmunological studies should be performed to confirm the diagnosis.
While the vast majority of patients will not survive, those who do, they present a wide variety of neurological findings ranging from no deficit to quadriparesis
with cranial nerve palsies.
Aronson, "Diffuse intracytoplasmic ganglionic inclusions (lewy type) associated with progressive dementia and quadriparesis
in flexion," Journal of Neuropathology and Experimental Neurology, vol.