Neurological disorders that can result in respiratory failure

Peripheral neuropathiesDisorders of neuromuscular transmissionDisorders of muscle
GBS (demyelinating and axonal)MyastheniaHypokalaemia
CIDPAnticholinesterase overdosePolymyositis
Critical illness polyneuropathyAntibiotic induced paralysisAcute rhabdomyolysis
Toxins-organophosphates, thallium, arsenic, lead, gold, lithiumHypermagnesaemiaHypophosphataemia
Drugs-vincristineBotulismAcid maltase deficiency
LymphomaSnake, scorpion, spider biteCombined neuromuscular blockade and steroids
Vasculitis-SLEFish, shellfish, crab poisoningBarium intoxication
Metabolic-acute intermittent porphyriaTick paralysis
Hereditary tyrosinaemiaEaton-Lambert syndrome
Diptheria
  • GBS=Guillain-Barré syndrome; CIDP=chronic idiopathic demyelinating polyradiculoneuropathy.

  • (Modified, with permission, from Hughes RAC, Bihari D. Acute neuromuscular respiratory paralysis. In Hughes RAC, ed.Neurological Emergencies. London: BMJ Publishing Group, 1994: 291−315.)