Reversal of Quadriplegia with Ultrasound-guided Dry Needling of Muscles Affected by Critical Illness Polyneuromyopathy/Neuropathy (original) (raw)

CASE REPORT the bronchospasm. The patient perceptibly improved, and the ventilation improved steadily over 48 hours. His C-reactive protein (CRP) at ICU admission was 36, and his white blood cell (WBC) count was 20,000. Later CRP varied between 399 and 145 and 120 and finally 7.5 and WBC count from 31,000 to 12,000. A transfusion of packed cells was administered to treat hemoglobin of 7 gm/dL. The patient was uneventfully weaned off the ventilator at 21 days, the tracheostomy closed, and oral feeds resumed. His glycosylated hemoglobin was 7.6 gm/dL; total protein was 5.10 gm/dL, and albumin was 2.20 gm/dL with albumin:globulin ratio of 0.76. Creatine kinase was 40 U/L, procalcitonin was 1.5, and vitamin B12 levels were normal. Then he was found to have profound quadriplegia and extensive anasarca over the extremities. The neurologist diagnosed critical illness neuromyopathy based on electromyography findings (Table 1) and started coenzyme Q. He was discharged after 26 days in the hospital and 23 days in ICU.