Critical Illness Polyneuropathy Developing In The Early Period After An Epileptic Seizure: Two Case Reports

Critical illness polyneuropathy (CIP) is characterized by muscle weakness and atrophy in intensive care patients. Although recovery may occur by addressing the underlying cause, plasmapheresis or immunoglobulin therapy may be necessary in severe cases. We present two female patients (aged 76 and 52) who developed CIP in the early phase following epileptic seizures. CIP was suspected due to difficulty in ventilator weaning, and EMG confirmed the diagnosis. Both patients underwent five sessions of plasmapheresis and were successfully weaned from the ventilator, regaining full (5/5) muscle strength in all extremities. Early diagnosis is crucial in preventing complications and increasing treatment success in CIP.

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Publication Details

Journal
Journal of Emergency Medicine Case Reports
Published
2026-03-31
DOI
https://doi.org/10.33706/jemcr.1738131
Primary Topic
Intensive Care Unit Cognitive Disorders
Type
article
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article

Critical Illness Polyneuropathy Developing In The Early Period After An Epileptic Seizure: Two Case Reports

Hasan Hüseyin Kozak, Leyla Köse Leba, Sami Ataman, Şeyma Ataman
Journal of Emergency Medicine Case Reports
Intensive Care Unit Cognitive Disorders
article

Critical Illness Polyneuropathy Developing In The Early Period After An Epileptic Seizure: Two Case Reports

Hasan Hüseyin Kozak, Leyla Köse Leba, Sami Ataman, Şeyma Ataman
article en

Abstract

Critical illness polyneuropathy (CIP) is characterized by muscle weakness and atrophy in intensive care patients. Although recovery may occur by addressing the underlying cause, plasmapheresis or immunoglobulin therapy may be necessary in severe cases. We present two female patients (aged 76 and 52) who developed CIP in the early phase following epileptic seizures. CIP was suspected due to difficulty in ventilator weaning, and EMG confirmed the diagnosis. Both patients underwent five sessions of plasmapheresis and were successfully weaned from the ventilator, regaining full (5/5) muscle strength in all extremities. Early diagnosis is crucial in preventing complications and increasing treatment success in CIP.

Journal of Emergency Medicine Case ReportsVol. 17(1)
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Good health and well-being
Openalex Percentile: Top 27%
Intensive Care Unit Cognitive Disorders
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