Critical illness myopathy and polyneuropathy

Introduction
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By Mazen Dimachkie MD

Dr. Dimachkie of the University of Kansas Medical Center describes the neuromuscular complications of critical illness. In this update, he discusses a recent Cochrane review that confirms the beneficial effects of intensive insulin therapy in reducing the incidence of critical illness myopathy and neuropathy.

Key Points

  • After intensive neurorehabilitation, most critical illness neuropathy or myopathy patients recover within 1 to 2 years.
  • The presence of additional central nervous system lesions is associated with poor prognosis for recovery.