Case report: “an unexpected origin of coma in a young adult”

Abstract We report a peculiar case of acute non-traumatic coma due to neuromuscular hypoventilation syndrome caused by a non-traumatic spinal cord injury (NTSCI). A 21-year-old patient presented to the emergency room complaining of sudden onset weakness in his lower limbs and shortness of breath. Wh...

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Autores principales:	Ranjana Chandrikasing, Sudeshkoemar Ramnarain, Rakesh Bansie, Harvey Yang, Huibert Ponssen, Navin Ramdhani
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Coma Carbon dioxide narcosis Non-traumatic quadriplegia Longitudinally extensive transverse myelitis Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/be882a7b4c48495d8b445b5262d5a9c3
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spelling	oai:doaj.org-article:be882a7b4c48495d8b445b5262d5a9c32021-11-28T12:13:42ZCase report: “an unexpected origin of coma in a young adult”10.1186/s12245-021-00390-51865-13721865-1380https://doaj.org/article/be882a7b4c48495d8b445b5262d5a9c32021-11-01T00:00:00Zhttps://doi.org/10.1186/s12245-021-00390-5https://doaj.org/toc/1865-1372https://doaj.org/toc/1865-1380Abstract We report a peculiar case of acute non-traumatic coma due to neuromuscular hypoventilation syndrome caused by a non-traumatic spinal cord injury (NTSCI). A 21-year-old patient presented to the emergency room complaining of sudden onset weakness in his lower limbs and shortness of breath. While in the ER, he briefly became comatose and labs revealed an acute respiratory acidosis. Detailed neurologic examination ultimately revealed upper motor neuron signs and quadriplegia. He was ultimately diagnosed with a non-traumatic spinal cord injury, in particular, a cervical transverse myelitis which had caused acute diaphragmatic weakness. Although a very rare cause of coma, emergency medicine physicians need to be aware of transverse myelitis, a disorder that may result in rapidly progressive neurologic decline and is treated with immunomodulation.Ranjana ChandrikasingSudeshkoemar RamnarainRakesh BansieHarvey YangHuibert PonssenNavin RamdhaniBMCarticleComaCarbon dioxide narcosisNon-traumatic quadriplegiaLongitudinally extensive transverse myelitisMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENInternational Journal of Emergency Medicine, Vol 14, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Coma Carbon dioxide narcosis Non-traumatic quadriplegia Longitudinally extensive transverse myelitis Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Coma Carbon dioxide narcosis Non-traumatic quadriplegia Longitudinally extensive transverse myelitis Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Ranjana Chandrikasing Sudeshkoemar Ramnarain Rakesh Bansie Harvey Yang Huibert Ponssen Navin Ramdhani Case report: “an unexpected origin of coma in a young adult”
description	Abstract We report a peculiar case of acute non-traumatic coma due to neuromuscular hypoventilation syndrome caused by a non-traumatic spinal cord injury (NTSCI). A 21-year-old patient presented to the emergency room complaining of sudden onset weakness in his lower limbs and shortness of breath. While in the ER, he briefly became comatose and labs revealed an acute respiratory acidosis. Detailed neurologic examination ultimately revealed upper motor neuron signs and quadriplegia. He was ultimately diagnosed with a non-traumatic spinal cord injury, in particular, a cervical transverse myelitis which had caused acute diaphragmatic weakness. Although a very rare cause of coma, emergency medicine physicians need to be aware of transverse myelitis, a disorder that may result in rapidly progressive neurologic decline and is treated with immunomodulation.
format	article
author	Ranjana Chandrikasing Sudeshkoemar Ramnarain Rakesh Bansie Harvey Yang Huibert Ponssen Navin Ramdhani
author_facet	Ranjana Chandrikasing Sudeshkoemar Ramnarain Rakesh Bansie Harvey Yang Huibert Ponssen Navin Ramdhani
author_sort	Ranjana Chandrikasing
title	Case report: “an unexpected origin of coma in a young adult”
title_short	Case report: “an unexpected origin of coma in a young adult”
title_full	Case report: “an unexpected origin of coma in a young adult”
title_fullStr	Case report: “an unexpected origin of coma in a young adult”
title_full_unstemmed	Case report: “an unexpected origin of coma in a young adult”
title_sort	case report: “an unexpected origin of coma in a young adult”
publisher	BMC
publishDate	2021
url	https://doaj.org/article/be882a7b4c48495d8b445b5262d5a9c3
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Case report: “an unexpected origin of coma in a young adult”

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