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CRITICAL CARE AND TRAUMA

Rapid Weaning from Mechanical Ventilator in Acute Cervical Cord Multiple Sclerosis Lesion After Steroids

Department of Neurology, Mayo Clinic, Rochester, Minnesota

Address correspondence and reprint requests to Eelco F. M. Wijdicks, MD, Mayo Clinic, W8B, 200 First Street SW, Rochester, MN 55905. Address e-mail to wijde{at}mayo.edu

IMPLICATIONS: 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.

This article has been cited by other articles:

				S J Pittock, B G Weinshenker, and E F M Wijdicks Mechanical ventilation and tracheostomy in multiple sclerosis J. Neurol. Neurosurg. Psychiatry, September 1, 2004; 75(9): 1331 - 1333. [Abstract] [Full Text] [PDF]