Shoulder pain is one of the leading complaints of athletes seeking care from sports medicine physicians. Differential diagnosis includes a spectrum of orthopedic and nonorthopedic problems. In individuals who report acute atraumatic onset of shoulder pain followed by weakness, brachial neuritis should be considered. Brachial neuritis is an uncommon, idiopathic syndrome that typically affects th...

background: peripheral nervous injury and neuromuscular complications from methamphetamine abuse has not been reported. the mechanism is not yet identified. methods: eight patients with lower extremity weakness following methamphetamine abuse were reported during december 2009 to may 2010. results: patients presented with lower extremity weakness. all patients were co-abusers of methamphetamine...

Secondary hyperkalemic paralysis is an uncommon but potentially life-threatening consequence of drug-induced disease. We report a case of a 53-year-old female with history of chronic kidney disease presenting to the emergency department with a one-day history of upper and lower extremity weakness and paresthesias. Serum potassium concentration on admission was greater than 8 mEq/L, and serum cr...

Acute cerebellitis is a benign neurologic condition generally caused by viral or bacterial infections. Influenza associated cerebellitis is extremely rare; a 6-year-old boy with acute cerebellitis, who presented with fever, vomiting, weakness, febrile seizure, and acute cerebellar features, is discussed in this article.

Since the early 1970s there has been an ongoing debate regarding the wisdom of promoting unassisted spontaneous breathing throughout the course of critical illness in patients with severe respiratory failure. The basis of this debate has focused on the clinical relevance of opposite problems. Historically, the term "disuse atrophy" has described a situation wherein sustained inactivity of the r...

Guillain Barre Syndrome (GBS) is an inflammatory polyneuropathy characterized by acute onset, rapid progressive, ascending symmetric muscular weakness, pain, and paresthesia. The progressive phase peaks in 7 to 14 days and can lead to various levels of weakness, from abnormal gait to total paralysis, cranial nerve weakness, pain, respiratory compromise, and autonomic instability [1]. The autono...

Acute intermittent porphyria (AIP) is an uncommon metabolic disease that impacts multiple organs and can manifest in many ways. It often misdiagnosed due to its nonspecific symptoms. Neurovisceral signs symptoms should alert physicians consider AIP the differential after excluding more common causes. Identifying underlying cause critical preventing acute attacks, trigger avoidance optimal appro...

introduction botulism is an acute form of poisoning resulted from ingestion of clostridium botulinum toxin. case presentation here we present five cases of food-borne botulism poisoning from home produced cheese. five patients from one family referred to our emergency unit with complaints of weakness and two had severe symptoms. in spite of the laboratory negative results antitoxin was administ...

Acute neuromuscular paralysis (ANMP) is a clinical syndrome characterized by rapid onset muscle weakness progressing to maximum severity within several days to weeks (less than 4 wk). Bulbar and respiratory muscle weakness may or may not be present. It is a common neurological emergency which requires immediate and careful investigations to determine the etiology because accurate diagnosis has ...

We read with interest the recent article by Park et al, describing a syndrome of acute anterior radiculitis associated with West Nile virus (WNV) infection. Although admittedly there is still much to learn about the clinical spectrum of disease associated with WNV, we were troubled by several of the assertions raised by the article, and the conclusions drawn. Recent evidence has suggested that ...