Chandrikasing Ranjana, Ramnarain Sudeshkoemar, Bansie Rakesh, Yang Harvey, Ponssen Huibert, Ramdhani Navin
Intensive Care at Academic Hospital Paramaribo, Paramaribo, Suriname.
Resident Emergency Medicine at Academic Hospital Paramaribo, Paramaribo, Suriname.
Int J Emerg Med. 2021 Nov 27;14(1):70. doi: 10.1186/s12245-021-00390-5.
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.
我们报告了一例因非创伤性脊髓损伤（NTSCI）导致神经肌肉通气不足综合征引起的急性非创伤性昏迷的特殊病例。一名21岁患者因下肢突然无力和呼吸急促前往急诊室就诊。在急诊室时，他短暂昏迷，实验室检查显示急性呼吸性酸中毒。详细的神经系统检查最终发现上运动神经元体征和四肢瘫痪。他最终被诊断为非创伤性脊髓损伤，特别是颈段横贯性脊髓炎，该疾病导致了急性膈肌无力。尽管横贯性脊髓炎是导致昏迷的非常罕见的原因，但急诊医学医生需要了解这种疾病，它可能导致迅速进展的神经功能衰退，需通过免疫调节进行治疗。
