Title

Copper Deficiency and Polyneuropathy in the Critically Ill

Document Type

Conference Proceeding

Publication Date

10-10-2021

Abstract

A 38yo female with PMH of substance abuse presented in acute liver failure and new onset quadriparesis requiring ICU admission and mechanical ventilation. Physical examination demonstrated absent deep tendon reflexes and denervation of the upper extremities indicative of an acute inflammatory demyelinating polyneuropathy, which was unsuccessfully treated with IVIG. Further work up demonstrated a significantly low copper level. After treatment with IV copper, the patient had a rapid return of muscular tone, and was successfully extubated. We will discuss nutritional consequences of substance abuse and acute liver failure, as well as the consequences of low copper levels presenting as quadriparesis.

Comments

American Society of Anesthesiology Annual Meeting, San Diego, CA, October 8-12, 2021.

Share

COinS