Rapid weaning from mechanical ventilator in acute cervical cord multiple sclerosis lesion after steroids

Anesth Analg. 2001 Dec;93(6):1550-1, table of contents. doi: 10.1097/00000539-200112000-00045.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Glucocorticoids / administration & dosage*
  • Humans
  • Infusions, Intravenous
  • Male
  • Methylprednisolone / administration & dosage*
  • Middle Aged
  • Multiple Sclerosis, Relapsing-Remitting / complications*
  • Multiple Sclerosis, Relapsing-Remitting / pathology
  • Respiration, Artificial*
  • Respiratory Insufficiency / drug therapy
  • Respiratory Insufficiency / etiology
  • Respiratory Insufficiency / therapy*
  • Spinal Cord / pathology
  • Ventilator Weaning

Substances

  • Glucocorticoids
  • Methylprednisolone