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The differentiation of peripheral effector neuron failure from acute brain stem dysfunction in a critically ill patient.
  1. P G Bain,
  2. G Harwood,
  3. G E Holder,
  4. B M Evans
  1. Department of Neurology, South-East Thames Regional Neurosciences Centre, Brook Hospital, London, UK.


    A patient appeared to be in coma following pneumococcal meningitis, an intracerebral haemorrhage, and a cardiac arrest. Late in the course of his illness neurophysiological investigations confirmed a proposal that he also had a fulminant acute demyelinating polyneuropathy which, for a period of five days, rendered the patient completely unresponsive. The patient recovered and is now working without any disability.

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