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DC Field | Value | Language |
---|---|---|
dc.contributor.author | Subsai Kongsaengdao | en_US |
dc.contributor.author | Kanoksri Samintarapanya | en_US |
dc.contributor.author | Siwarit Rusmeechan | en_US |
dc.contributor.author | Pasiri Sithinamsuwan | en_US |
dc.contributor.author | Surat Tanprawate | en_US |
dc.date.accessioned | 2018-09-10T03:14:14Z | - |
dc.date.available | 2018-09-10T03:14:14Z | - |
dc.date.issued | 2009-08-01 | en_US |
dc.identifier.issn | 10974598 | en_US |
dc.identifier.issn | 0148639X | en_US |
dc.identifier.other | 2-s2.0-67749116326 | en_US |
dc.identifier.other | 10.1002/mus.21256 | en_US |
dc.identifier.uri | https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=67749116326&origin=inward | en_US |
dc.identifier.uri | http://cmuir.cmu.ac.th/jspui/handle/6653943832/59356 | - |
dc.description.abstract | In this study we describe the electrophysiological findings in botulism patients with neuromuscular respiratory failure from major botulism outbreaks in Thailand. High-rate repetitive nerve stimulation testing (RNST) of the abductor digiti minimi (ADM) muscle of 17 botulism patients with neuromuscular respiratory failure showed mostly incremental responses, especially in response to >20-HZ stimulation. In the most severe stage of neuromuscular respiratory failure, RNST failed to elicit a compound muscle action potential (CMAP) of the ADM muscle. In the moderately severe stage, the initial CMAPs were of very low amplitude, and a 3-HZ RNST elicited incremental or decremental responses. A 10-HZ RNST elicited mainly decremental responses. In the early recovery stage, the initial CMAP amplitudes of the ADM muscle improved, with initially low amplitudes and an incremental response to 3- and 10-HZ RNSTs. Improved electrophysiological patterns of the ADM muscle correlated with improved respiratory muscle function. Incremental responses to 20-HZ RNST were most useful for diagnosis. The initial electrodiagnostic sign of recovery following treatment of neuromuscular respiratory failure was an increased CMAP amplitude and an incremental response to 10-20-HZ RNST. © 2009 Wiley Periodicals, Inc. | en_US |
dc.subject | Biochemistry, Genetics and Molecular Biology | en_US |
dc.subject | Medicine | en_US |
dc.subject | Neuroscience | en_US |
dc.title | Electrophysiological diagnosis and patterns of response to treatment of botulism with neuromuscular respiratory failure | en_US |
dc.type | Journal | en_US |
article.title.sourcetitle | Muscle and Nerve | en_US |
article.volume | 40 | en_US |
article.stream.affiliations | Rajavithi Hospital | en_US |
article.stream.affiliations | Rangsit University | en_US |
article.stream.affiliations | Lumpang Hospital | en_US |
article.stream.affiliations | Buddhachinaraj Hospital | en_US |
article.stream.affiliations | Royal Army Hospital | en_US |
article.stream.affiliations | Chiang Mai University | en_US |
Appears in Collections: | CMUL: Journal Articles |
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