38 year old woman was admitted with acute onset of quadriplegia. Biochemical investigation revealed severe hypokalaemia with hyperchloraemic metabolic acidosis, alkaline urine, and positive urinary anion gap which are the hallmark of distal tubular acidosis. In addition she also had hypophosphataemia, normoglycaemic glycosuria, aminoaciduria, and hyperphosphaturia suggestive of proximal tubular...

The Melbourne Assessment of Unilateral Upper Limb Function (Melbourne Assessment) is an evaluation tool that objectively measures upper-extremity function in children with cerebral palsy (CP). This study investigates how well performance on the Melbourne Assessment relates to the child's actual performance in functional tasks. Eighteen children with CP (5 to 14 years of age; nine males, nine fe...

Relata-se um caso de paciente jovem que apresentou quadriplegia e evoluiu com parada cardiorrespiratória, devido ao diagnóstico Acidose Tubular Renal Distal concomitante COVID-19. Diante disso, em consequência da hipocalemia grave, necessitou ventilação mecânica reposição potássio. Nota-se a infecção pelo novo coronavírus pode ocasionar dano citopático, tornando o sistema tampão renal ineficaz,...

BACKGROUND This study was undertaken to establish the prevalence of, and the factors contributing towards, sleep disordered breathing in patients with quadriplegia. METHODS Forty representative quadriplegic patients (time since injury > 6 months, injury level C8 and above, Frankel category A, B, or C; mean (SE) age 35.0 (1.7) years) had home sleep studies in which EEG, EOG, submental EMG, bod...

A biomechanical model of a partially paralyzed human arm has been developed to aid in analysis of FES controllers for reaching in quadriplegia. The model represents an average adult arm and is based on data from cadaver measurements reported in the literature. Particular emphasis has been placed on the accuracy of parameters that are important for control, including the moment arms for muscles ...

BACKGROUND Free tissue reconstruction after ablation of head and neck malignancy often requires extensive cervical manipulation, which may exacerbate preexisting cervical spondylosis and result in progression to cervical myelopathy. We present a rare case of postoperative quadriplegia caused by cervical spondylotic myelopathy after head and neck reconstruction. METHODS AND RESULTS A 63-year-o...