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Focal neuropathy in children with critical illness.
[focal myositis]
Four
children
are
described
who
developed
focal
lower
limb
nerve
palsies
following
critical
illness
.
Two
had
clinical
and
/
or
neurophysiological
evidence
of
simultaneous
generalised
critical
illness
polyneuropathy
.
The
diagnosis
was
delayed
in
three
patients
due
to
the
presence
of
central
motor
abnormalities
and
slow
motor
recovery
.
Follow-up
from
seven
months
to
three
years
showed
minimal
or
no
recovery
.
In
three
,
a
vasculitic
skin
infarct
,
compartment
syndrome
and
focal
myositis
could
have
caused
nerve
compression
.
We
suggest
that
in
critical
illness
peripheral
nerves
have
an
increased
susceptibility
to
damage
by
local
pressure
.