Publicação
Acute non-traumatic tetraparesis : differential diagnosis
| Resumo: | Introduction: Potentially life-threatening disorders may present in the emergency department with acute tetraparesis, and their recognition is crucial for an appropriate management and timely treatment. Our review aims to systematize the differential diagnosis of acute non-traumatic tetraparesis. Results: Causes of tetraparesis can be classified based on the site of defect: upper motor neuron (UMN), peripheral nerve, neuromuscular junction or muscle. History of present illness should include the distribution of weakness (symmetric/asymmetric or distal/proximal/diffuse) and associated clinical features (pain, sensory findings, dysautonomia, and cranial nerve abnormalities such as diplopia and dysphagia). Neurological examination, particularly tendon reflexes, helps further in the localization of nerve lesions and distinction between UMN and lower motor neuron. Ancillary studies include blood and cerebral spinal fluid analysis, neuroaxis imaging, electromyography, muscle magnetic resonance and muscle biopsy. Conclusions: Acute tetraparesis is still a debilitating and potentially serious neurological condition. Despite all the supplementary ancillary tests, the neurological examination is the key to achieve a correct diagnosis. The identification of life-threatening neurologic disorders is pivotal, since failing to identify patients at risk of complications, such as acute respiratory failure, may have catastrophic results. |
|---|---|
| Autores principais: | Oliveira, Renato |
| Outros Autores: | Ramalho Rocha, Filipa; Teodoro, Tomás; Oliveira Santos, Miguel |
| Assunto: | Acute tetraparesis Brainstem stroke Myelopathy Myopathy Neuromuscular junction disorder Polyneuropathy |
| Ano: | 2021 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso restrito |
| Instituição associada: | Universidade de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório da Universidade de Lisboa |
| _version_ | 1866808846340587520 |
|---|---|
| author | Oliveira, Renato |
| author2 | Ramalho Rocha, Filipa Teodoro, Tomás Oliveira Santos, Miguel |
| author2_role | author author author |
| author_facet | Oliveira, Renato Ramalho Rocha, Filipa Teodoro, Tomás Oliveira Santos, Miguel |
| author_role | author |
| contributor_name_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Oliveira, Renato\",\"Person.identifier.orcid\":\"0000-0003-1181-1418\"},{\"Person.name\":\"Ramalho Rocha, Filipa\"},{\"Person.name\":\"Teodoro, Tomás\"},{\"Person.name\":\"Oliveira Santos, Miguel\",\"Person.identifier.orcid\":\"0000-0002-8290-0410\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| datacite.creators.creator.creatorName.fl_str_mv | Oliveira, Renato Ramalho Rocha, Filipa Teodoro, Tomás Oliveira Santos, Miguel |
| datacite.date.Accepted.fl_str_mv | 2021-01-01T00:00:00Z |
| datacite.date.available.fl_str_mv | 2021-09-10T15:10:27Z |
| datacite.date.embargoed.fl_str_mv | 2021-09-10T15:10:27Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_16ec |
| datacite.subjects.subject.fl_str_mv | Acute tetraparesis Brainstem stroke Myelopathy Myopathy Neuromuscular junction disorder Polyneuropathy |
| datacite.titles.title.fl_str_mv | Acute non-traumatic tetraparesis : differential diagnosis |
| dc.contributor.none.fl_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| dc.creator.none.fl_str_mv | Oliveira, Renato Ramalho Rocha, Filipa Teodoro, Tomás Oliveira Santos, Miguel |
| dc.date.Accepted.fl_str_mv | 2021-01-01T00:00:00Z |
| dc.date.available.fl_str_mv | 2021-09-10T15:10:27Z |
| dc.date.embargoed.fl_str_mv | 2021-09-10T15:10:27Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10451/49501 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Elsevier |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_16ec |
| dc.subject.none.fl_str_mv | Acute tetraparesis Brainstem stroke Myelopathy Myopathy Neuromuscular junction disorder Polyneuropathy |
| dc.title.fl_str_mv | Acute non-traumatic tetraparesis : differential diagnosis |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | Introduction: Potentially life-threatening disorders may present in the emergency department with acute tetraparesis, and their recognition is crucial for an appropriate management and timely treatment. Our review aims to systematize the differential diagnosis of acute non-traumatic tetraparesis. Results: Causes of tetraparesis can be classified based on the site of defect: upper motor neuron (UMN), peripheral nerve, neuromuscular junction or muscle. History of present illness should include the distribution of weakness (symmetric/asymmetric or distal/proximal/diffuse) and associated clinical features (pain, sensory findings, dysautonomia, and cranial nerve abnormalities such as diplopia and dysphagia). Neurological examination, particularly tendon reflexes, helps further in the localization of nerve lesions and distinction between UMN and lower motor neuron. Ancillary studies include blood and cerebral spinal fluid analysis, neuroaxis imaging, electromyography, muscle magnetic resonance and muscle biopsy. Conclusions: Acute tetraparesis is still a debilitating and potentially serious neurological condition. Despite all the supplementary ancillary tests, the neurological examination is the key to achieve a correct diagnosis. The identification of life-threatening neurologic disorders is pivotal, since failing to identify patients at risk of complications, such as acute respiratory failure, may have catastrophic results. |
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| eu_rights_str_mv | restrictedAccess |
| format | article |
| fulltext.url.fl_str_mv | https://repositorio.ulisboa.pt/bitstreams/20734810-c594-4b90-8d85-5e356aaf906d/download |
| id | ul_32af92aa3c69a4ecafe2ebf2c69b94b3 |
| identifier.url.fl_str_mv | http://hdl.handle.net/10451/49501 |
| instacron_str | ul |
| institution | Universidade de Lisboa |
| instname_str | Universidade de Lisboa |
| language | eng |
| network_acronym_str | ul |
| network_name_str | Repositório da Universidade de Lisboa |
| oai_identifier_str | oai:repositorio.ulisboa.pt:10451/49501 |
| organization_str_mv | urn:organizationAcronym:ul |
| person_str_mv | Oliveira, Renato Oliveira, Renato http://orcid.org/0000-0003-1181-1418 0000-0003-1181-1418 Ramalho Rocha, Filipa Teodoro, Tomás Oliveira Santos, Miguel Oliveira Santos, Miguel https://www.ciencia-id.pt/B511-DD32-12D7 B511-DD32-12D7 http://orcid.org/0000-0002-8290-0410 0000-0002-8290-0410 |
| publishDate | 2021 |
| publisher.none.fl_str_mv | Elsevier |
| reponame_str | Repositório da Universidade de Lisboa |
| repository_id_str | urn:repositoryAcronym:ul |
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| spelling | engElsevierpt_PTIntroduction: Potentially life-threatening disorders may present in the emergency department with acute tetraparesis, and their recognition is crucial for an appropriate management and timely treatment. Our review aims to systematize the differential diagnosis of acute non-traumatic tetraparesis. Results: Causes of tetraparesis can be classified based on the site of defect: upper motor neuron (UMN), peripheral nerve, neuromuscular junction or muscle. History of present illness should include the distribution of weakness (symmetric/asymmetric or distal/proximal/diffuse) and associated clinical features (pain, sensory findings, dysautonomia, and cranial nerve abnormalities such as diplopia and dysphagia). Neurological examination, particularly tendon reflexes, helps further in the localization of nerve lesions and distinction between UMN and lower motor neuron. Ancillary studies include blood and cerebral spinal fluid analysis, neuroaxis imaging, electromyography, muscle magnetic resonance and muscle biopsy. Conclusions: Acute tetraparesis is still a debilitating and potentially serious neurological condition. Despite all the supplementary ancillary tests, the neurological examination is the key to achieve a correct diagnosis. The identification of life-threatening neurologic disorders is pivotal, since failing to identify patients at risk of complications, such as acute respiratory failure, may have catastrophic results.application/pdfpt_PTAcute non-traumatic tetraparesis : differential diagnosisPersonalOliveira, RenatoDSpacehttp://dspace.org/items/f6e18ce3-9afb-4e50-ac17-687f8ac23aa5DSpacehttp://dspace.org/items/f6e18ce3-9afb-4e50-ac17-687f8ac23aa5OliveiraRenatoORCIDhttp://orcid.org0000-0003-1181-1418Ramalho Rocha, FilipaTeodoro, TomásPersonalOliveira Santos, MiguelDSpacehttp://dspace.org/items/eab02009-54a9-4518-8b22-9426433cea69DSpacehttp://dspace.org/items/eab02009-54a9-4518-8b22-9426433cea69Oliveira SantosMiguelCiência IDhttps://www.ciencia-id.ptB511-DD32-12D7ORCIDhttp://orcid.org0000-0002-8290-0410Scopus Author IDhttps://www.scopus.com57217474349HostingInstitutionOrganizationalRepositório Científico de Acesso Aberto da ULisboae-mailmailto:repositorio@reitoria.ulisboa.ptrepositorio@reitoria.ulisboa.ptISSNIsPartOf0967-5868DOIIsPartOf10.1016/j.jocn.2021.02.0242021-09-10T15:10:27Z20212021-01-01T00:00:00ZHandlehttp://hdl.handle.net/10451/49501http://purl.org/coar/access_right/c_16ecrestricted accessAcute tetraparesisBrainstem strokeMyelopathyMyopathyNeuromuscular junction disorderPolyneuropathy499779 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_16ecapplication/pdffulltexthttps://repositorio.ulisboa.pt/bitstreams/20734810-c594-4b90-8d85-5e356aaf906d/downloadJournal of Clinical Neuroscience87116124 |
| spellingShingle | Acute non-traumatic tetraparesis : differential diagnosis Oliveira, Renato Acute tetraparesis Brainstem stroke Myelopathy Myopathy Neuromuscular junction disorder Polyneuropathy |
| status | SINGLETON |
| subject.fl_str_mv | Acute tetraparesis Brainstem stroke Myelopathy Myopathy Neuromuscular junction disorder Polyneuropathy |
| title | Acute non-traumatic tetraparesis : differential diagnosis |
| title_full | Acute non-traumatic tetraparesis : differential diagnosis |
| title_fullStr | Acute non-traumatic tetraparesis : differential diagnosis |
| title_full_unstemmed | Acute non-traumatic tetraparesis : differential diagnosis |
| title_short | Acute non-traumatic tetraparesis : differential diagnosis |
| title_sort | Acute non-traumatic tetraparesis : differential diagnosis |
| topic | Acute tetraparesis Brainstem stroke Myelopathy Myopathy Neuromuscular junction disorder Polyneuropathy |
| topic_facet | Acute tetraparesis Brainstem stroke Myelopathy Myopathy Neuromuscular junction disorder Polyneuropathy |
| url | http://hdl.handle.net/10451/49501 |
| visible | 1 |