Severe axonal motor neuropathy after heat stroke
A 22-year-old healthy man experienced heat stroke while hiking and collapsed, resulting in multiorgan failure, cerebral edema, and prolonged intensive care unit stay. He developed flaccid tetraplegia, facial weakness, and dysphagia, and was diagnosed with severe axonal sensorimotor polyneuropathy. R...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health - Lippincott Williams Wilkins
2023-12-01
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| Series: | The Journal of the International Society of Physical and Rehabilitation Medicine |
| Online Access: | http://journals.lww.com/10.1097/ph9.0000000000000016 |
| _version_ | 1797258540929253376 |
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| author | Melanie Madeleine J. Quoilin, MD Nikola Dragojlovic, DO |
| author_facet | Melanie Madeleine J. Quoilin, MD Nikola Dragojlovic, DO |
| author_sort | Melanie Madeleine J. Quoilin, MD |
| collection | DOAJ |
| description | A 22-year-old healthy man experienced heat stroke while hiking and collapsed, resulting in multiorgan failure, cerebral edema, and prolonged intensive care unit stay. He developed flaccid tetraplegia, facial weakness, and dysphagia, and was diagnosed with severe axonal sensorimotor polyneuropathy. Rehabilitation improved dysphagia, but he remained dependent on daily activities and required assistance for transfers. The prognosis of critical illness polyneuropathy is typically good in young, healthy individuals. Peripheral neuropathy is a rare complication of heat stroke due to hyperthermia-induced neuronal injury. As global temperatures continue to rise, it is essential to recognize the potential impact of climate change on the incidence of heat stroke and to implement public health interventions to mitigate its effects. |
| first_indexed | 2024-04-24T22:55:10Z |
| format | Article |
| id | doaj.art-a8ad46f01d664e3294ae6bf6742d9643 |
| institution | Directory Open Access Journal |
| issn | 2589-9457 |
| language | English |
| last_indexed | 2024-04-24T22:55:10Z |
| publishDate | 2023-12-01 |
| publisher | Wolters Kluwer Health - Lippincott Williams Wilkins |
| record_format | Article |
| series | The Journal of the International Society of Physical and Rehabilitation Medicine |
| spelling | doaj.art-a8ad46f01d664e3294ae6bf6742d96432024-03-18T06:55:42ZengWolters Kluwer Health - Lippincott Williams WilkinsThe Journal of the International Society of Physical and Rehabilitation Medicine2589-94572023-12-016411211510.1097/ph9.0000000000000016202312000-00005Severe axonal motor neuropathy after heat strokeMelanie Madeleine J. Quoilin, MD0Nikola Dragojlovic, DO1Department of Physical Medicine and Rehabilitation, McGovern Medical School, UTHealth HoustonDepartment of Physical Medicine and Rehabilitation, McGovern Medical School, UTHealth HoustonA 22-year-old healthy man experienced heat stroke while hiking and collapsed, resulting in multiorgan failure, cerebral edema, and prolonged intensive care unit stay. He developed flaccid tetraplegia, facial weakness, and dysphagia, and was diagnosed with severe axonal sensorimotor polyneuropathy. Rehabilitation improved dysphagia, but he remained dependent on daily activities and required assistance for transfers. The prognosis of critical illness polyneuropathy is typically good in young, healthy individuals. Peripheral neuropathy is a rare complication of heat stroke due to hyperthermia-induced neuronal injury. As global temperatures continue to rise, it is essential to recognize the potential impact of climate change on the incidence of heat stroke and to implement public health interventions to mitigate its effects.http://journals.lww.com/10.1097/ph9.0000000000000016 |
| spellingShingle | Melanie Madeleine J. Quoilin, MD Nikola Dragojlovic, DO Severe axonal motor neuropathy after heat stroke The Journal of the International Society of Physical and Rehabilitation Medicine |
| title | Severe axonal motor neuropathy after heat stroke |
| title_full | Severe axonal motor neuropathy after heat stroke |
| title_fullStr | Severe axonal motor neuropathy after heat stroke |
| title_full_unstemmed | Severe axonal motor neuropathy after heat stroke |
| title_short | Severe axonal motor neuropathy after heat stroke |
| title_sort | severe axonal motor neuropathy after heat stroke |
| url | http://journals.lww.com/10.1097/ph9.0000000000000016 |
| work_keys_str_mv | AT melaniemadeleinejquoilinmd severeaxonalmotorneuropathyafterheatstroke AT nikoladragojlovicdo severeaxonalmotorneuropathyafterheatstroke |