Rapid weaning from mechanical ventilator in acute cervical cord multiple sclerosis lesion after steroids.
We report a patient with multiple sclerosis (MS), who developed neuromuscular respiratory failure requiring ventilation because of a cervical cord relapse. Serial pulmonary function tests documented improvement after steroid treatment. Cervical cord or brainstem relapses should be suspected in MS patients with respiratory failure. Identification and management of this critical condition are discussed.
Pittock
S J
SJ
Department of Neurology, Mayo Clinic, Rochester, Minnesota 55905, USA.
Rodriguez
M
M
Wijdicks
E F
EF
D000208:Acute Disease; D005938:Glucocorticoids / Q000008:administration & dosage*; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D008775:Methylprednisolone / Q000008:administration & dosage*; D008875:Middle Aged; D020529:Multiple Sclerosis, Relapsing-Remitting / Q000150:complications* / Q000473:pathology; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000188:drug therapy / Q000209:etiology / Q000628:therapy*; D013116:Spinal Cord / Q000473:pathology; D015300:Ventilator Weaning
D005938:Glucocorticoids; D008775:Methylprednisolone