Indian Journal of Critical Care Case Report

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VOLUME 1 , ISSUE 2 ( September-October, 2022 ) > List of Articles


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

Lakshmi Vas, Varsha Suryavanshi, Jhanvi Vora Hemani

Keywords : Critical illness myopathy, Critical illness neuropathy, Critical illness polyneuromyopathy, Quadriparesis, Quadriplegia, Ultrasound-guided dry needling

Citation Information : Vas L, Suryavanshi V, Hemani JV. Reversal of Quadriplegia with Ultrasound-guided Dry Needling of Muscles Affected by Critical Illness Polyneuromyopathy/Neuropathy. 2022; 1 (2):50-54.

DOI: 10.5005/jp-journals-11006-0019

License: CC BY-NC 4.0

Published Online: 04-11-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Case report: A 70-year-old developed critical illness polyneuropathy/critical illness polyneuromyopathy (CIP/CIPNM) quadriparesis with bilateral foot drop after a prolonged intensive care unit (ICU) stay. Systematic ultrasound-guided dry needling (USGDN) of axial and limb muscles reversed the low-grade co-contraction of agonist/antagonists of extremities surmised to cause CIP/CIPNM paresis to restore reciprocal inhibition essential for normal movements. Disability of Arm, Shoulder, and Hand (DASH) score improved from 96 to 15, allowing daily activity resumption within 2 weeks and independent walking at 8 weeks with a walker for right foot drop. Sonography documented the reversal of structural disruption of muscle with USGDN. Conclusion: CIP/CIPNM reversal with USGDN suggests low-grade co-contraction as a probable cause of paresis in this patient.

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