Department of Intensive Care, Royal North Shore Hospital, Sydney, NSW, Australia.
Neurocrit Care. 2012 Sep;17 Suppl 1:S79-95. doi: 10.1007/s12028-012-9752-7.
Acute non-traumatic weakness may be life-threatening if it involves respiratory muscles or is associated with dysautonomia. Most patients presenting with an acute muscle weakness have a worsening neurologic disorder that requires a rapid, systematic approach, and detailed neurologic localization of the findings. In many patients, urgent laboratory tests are needed and may involve neuroimaging. Because acute weakness is a common presenting sign of neurological emergencies, it was chosen as an Emergency Neurological Life Support protocol. An inclusive list of causes of acute weakness is explored, both by presenting complaint and anatomical location, with an outline of the key features of the history, examination, investigations, and treatment for each diagnosis.
急性非外伤性肌无力如果涉及呼吸肌或伴有自主神经功能紊乱，则可能危及生命。大多数出现急性肌无力的患者都有恶化的神经疾病，需要快速、系统的处理，并对发现的情况进行详细的神经定位。在许多患者中，需要进行紧急实验室检查，可能包括神经影像学检查。由于急性无力是神经急症的常见表现，因此被选为紧急神经生命支持方案。本方案探讨了急性肌无力的各种病因，包括根据主诉和解剖部位进行分类，并概述了每种诊断的病史、检查、检查和治疗的关键特征。
