Table of Contents
Washington University Experience | PERIPHERAL NEUROPATHY | 8 ACUTE MOTOR AXONAL NEUROPATTHY (AMAN) | 1A0 Case 1 History - Copy
Case 1 History
The patient was a 66-year-old Japanese woman who experienced a flu-like illness approximately 3 weeks prior to the initial onset of paresthesias of distal hand and feet with weakness. She rapidly progressed to inability to stand, swallow and speak, resulting in hospitalization. Her arms and legs were weak bilaterally, and tendon reflexes were diminished or absent throughout. On the next hospital day, she became completely tetraplegic with absent tendon reflexes. On the third hospital day, she suddenly developed circulatory collapse, was resuscitated, but remained in persistent coma thereafter. The patient died with a total duration of illness of 41 days. Autopsy was performed and her anterior and posterior spinal roots were sampled extensively. Her lumbar anterior roots were most heavily involved. (thanks to Drs. Shinji Ohara, Mitsunori Yamada, and Hitoshi Takahashi).
