ALBERTO L . POLITOFF, STEVEN ROSE, and GEORGE D . PAPPAS . From the Department of Anatomy and the Rose F . Kennedy Center for Mental Retardation and Human Development, Albert Einstein College of Medicine, Bronx, New York 10461 and the Marine Biological Laboratory, Woods Hole, Massachusetts 02543 . Dr . Politoffs present address is the Department of Physiology, Boston University School of Medici...

OBJECTIVE The relationship between neuromuscular blocking agents and neuromuscular dysfunction acquired in critical illness remains unclear. We examined the association between neuromuscular blocking agents and ICU-acquired weakness, critical illness polyneuropathy, and critical illness myopathy. DATA SOURCES PubMed, EMBASE, Web of Science, Cochrane Central Register of Controlled Trials, Cumu...

BACKGROUND Diagnosis of neuromuscular diseases in primary care is often challenging. Rare diseases such as Pompe disease are easily overlooked by the general practitioner. We therefore aimed to develop a diagnostic support tool using patient-oriented questions and combined data mining algorithms recognizing answer patterns in individuals with selected neuromuscular diseases. A multicenter prosp...

Sugammadex is a revolutionary investigational reversal drug currently undergoing Phase III testing whose introduction into clinical practice may change the face of clinical neuromuscular pharmacology. A modified gamma-cyclodextrin, sugammadex exerts its effect by forming very tight water-soluble complexes at a 1:1 ratio with steroidal neuromuscular blocking drugs (rocuronium > vecuronium >> pan...

BACKGROUND AND PURPOSE There have been few prospective reports on quality of life in patients treated surgically for scoliosis. We compared patients with idiopathic, congenital, and neuromuscular scoliosis. METHODS Data on 9- to 20-year-old patients were collected from the SweSpine registry. EQ-5D and (for a subset) SRS-22r were assessed preoperatively and after 1 and 2 years. RESULTS 211 p...

Un enfant de 12 ans atteint d'un lymphome medias­tinal a ete hospitalise pour des manifestations neurolo­giques comportant: facies myasthenique, douleurs radi­culaires intenses, amyotrophie et diminution de la force musculaire au niveau des membres.  A l'examen du liquide cephalo-rachidien, ii existait une meningite neoplasique. Celle-ci a ete traitee par le methotraxate intra-rachidien parall...

SEVERAL studies have documented that neuromuscular block often persists in the postanesthesia care unit (PACU), even with the administration of acetylcholinesterase inhibitors. The frequency of this phenomenon, which has been called “residual curarization,” “residual neuromuscular block,” “postoperative residual curarization,” or “residual paralysis,” ranges between 4 and 50% depending on the d...

The Institute for Neuromuscular Research, The Children’s Hospital at Westmead, Discipline of Paediatrics and Child Health, Faculty of Medicine, University of Sydney, Australia, Centre for Neuromuscular and Neurological Disorders, University of Western Australia (UWA); Australian Neuromuscular Research Institute and Centre for Medical Research, UWA; West Australian Institute for Medical Research...

Congenital myasthenic syndromes (CMS) are a rare heterogeneous group of inherited neuromuscular disorders associated with distinctive clinical, electrophysiological, ultrastructural and genetic abnormalities. These genetic defects either impair neuromuscular transmission directly or result in secondary impairments, which eventually compromise the safety margin of neuromuscular transmission. In ...

The management of an undetected pseudocholinesterase deficiency in a parturient who underwent urgent cesarean section has been presented. After rapid sequence induction with succinylcholine, rocuronium was used for maintenance of neuromuscular block. At the end of the operation neostigmine was given to antagonize the residual block. Upon persistent prolonged neuromuscular blockade sugammadex wa...