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82 Possible Causes for Acute Respiratory Failure, Descending Paralysis

  • Botulism

    […] tetraparesis and respiratory failure hypotonia head lag ptosis reduced facial expression reduced suck and swallow loss of reflexes slowly improves after weeks Adult intestinal[lifeinthefastlane.com] Clostridium botulinum is known to cause descending paralysis in infants throughout the world.[ncbi.nlm.nih.gov] paralysis and/or other symptoms, and reduce associated treatment costs to states.[ncbi.nlm.nih.gov]

  • Infantile Botulism

    Infantile botulism is a recently recognized cause of acute hypotonic paresis and respiratory failure in young infants.[ncbi.nlm.nih.gov] Note that, in many cases, descending paralysis may be absent.[symptoma.com] […] tetraparesis and respiratory failure hypotonia head lag ptosis reduced facial expression reduced suck and swallow loss of reflexes slowly improves after weeks Adult intestinal[lifeinthefastlane.com]

  • Motor Neuron Disease

    The case report outlined below describes acute respiratory failure requiring non invasive ventilation (NIV), at the time of diagnosis of MND.[ncbi.nlm.nih.gov] We report a heterozygous I113F mutation in a patient with familial ALS characterized by early and predominant bilateral vocal cord paralysis followed by descending spinal[ncbi.nlm.nih.gov] Acute respiratory failure has been reported. [ 7 ] Some patients with pseudobulbar palsy may have 'emotional incontinence', an over-reaction to sad or funny events that they[patient.info]

  • Phrenic Nerve Palsy

    Subsequent to this operation the patient was in acute respiratory failure due to bilateral phrenic palsy.[ncbi.nlm.nih.gov] (similar to tick paralysis and in contrast to descending paralysis seen in botulism and paralytic-neurotoxic shellfish poisoning) Hypothyroidism (see Hypothyroidism ) Hypothyroidism-associated[mdnxs.com] The patient developed acute respiratory failure requiring mechanical ventilation and a prolonged intensive care unit (ICU) stay.[criticalultrasoundjournal.springeropen.com]

  • Tick Paralysis

    It typically presents as an acute ascending paralysis occurring a few days after tick attachment and may result in respiratory failure and death.[ncbi.nlm.nih.gov] […] that the acute ascending or rare descending type of paralysis originally described by Landry is simply a form of poliomyelitis, whereas others contend that Landry's paralysis[annals.org] Without removal of the tick, finally the respiratory muscles will fail and the patient will die of respiratory failure.[cvbd.org]

  • Deliberate Exposure to Botulinum Toxin

    Herpes simplex Condition Clinical features Diagnosis Botulism Acute bilateral symmetrical, descending paralysis.[academic.oup.com] Conclusions: An aerosolized or foodborne botulinum toxin weapon would cause acute symmetric, descending flaccid paralysis with prominent bulbar palsies such as diplopia, dysarthria[experts.umn.edu] It presents with an afebrile, descending, symmetrical, flaccid paralysis of motor and autonomic but not sensory nerves.[emj.bmj.com]

  • Ganglionic Blocker

    Death occurs from respiratory paralysis of the diaphragm and chest muscle resulting from descending paralysis and depolarisation block of the neuromuscular junction.[drjaggyvpt.blogspot.com]

  • Intravenous Drug Abuse

    Patients with talcosis can be asymptomatic or present with acute respiratory failure.[rc.rcjournal.com] It presents as a descending paralysis and can be fatal. The classic 'four Ds' symptoms comprise diplopia, dysphagia, dysarthria and dysphonia.[gponline.com] , and potentially fatal paralysis, set off by the neurotoxin produced by Clostridium botulinum that germinates in the lesions.[scielo.br]

  • Cervical Spinal Cord Injury

    Indications for intubation in spinal cord injury are acute respiratory failure, decreased level of consciousness (Glasgow score 9), increased respiratory rate with hypoxia[emedicine.medscape.com] Cervical spinal cord injury (SCI) interrupts descending neural drive to phrenic motoneurons causing diaphragm muscle (DIAm) paralysis.[ncbi.nlm.nih.gov] Causes of death included respiratory failure with concomitant hypoxemia and acid–base disorders resulting in cardiac arrhythmia and cardiac arrest ( n 95); multiple organ[ncbi.nlm.nih.gov]

  • Guillain-Barré Syndrome

    An 82-year-old woman presented with acute ascending flaccid paralysis and acute respiratory failure.[ncbi.nlm.nih.gov] paralysis) Heavy metal intoxication (confusion, psychosis, organic brain syndrome) Hypophosphatemia (irritable, apprehensive, hyperventilation, normal cerebrospinal fluid[aafp.org] respiratory failure due to weakness of the respiratory muscles secondary to the pharyngeal-cervical-brachial variant of Guillain-Barré syndrome.[scienceopen.com]

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