QUADRIPARESIS - IT'S APPROACH AND MANAGEMENT IN THE ED

Abstract

Introduction : Vast majority of disease conditions are potentially reversibleif recognized on time . Paresis or weakness may be a symptom of any pathology , which includes neurologic, non neurologic conditions and trauma. The clinical approach of a multifactorial disease considered one of the most common neurological emergencies where prognosis depends on early and accurate diagnosis gains importance .(3) We evaluate cases with quadriparesis in the midst of a busy shift very frequently , although it doesn’t get much spot light , ED diagnosis and management of such cases requires a systemic approach based on focussed history , examination and workup as there are several easy to miss differentials leading to functional impairment resulting in long term consequences for patients , posing a great challenge to emergency physician .So what actually should be considered in the evaluation and treatment of such cases in the ED is a question to be answered .(9) This article endeavours to take few steps forward for steady clinical approach, evaluation and management of quadriparesis .