PEDIATRICS Vol. 78 No. 1 July 1986, pp. 121-123
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Acute Steroid-Induced Tetraplegia Following Status Asthmaticus

Peter W. Kaplan MRCP1, Wilson Rocha MD1, Donald B. Sanders MD1, Bernard D'Souza MD1, and Alexander Spock MD1

1 From the Division of Neurology, Department of Medicine, and Department of Pediatrics, Duke University Medical Center, Durham, North Carolina

A 10-year-old girl was treated for an acute asthmatic attack with ventilation and a high-dose steroids regimen. An areflexic paralysis of the four limbs was noted when artificial ventilatory support was withdrawn. Electromyography and a muscle biopsy revealed marked myopathic features. We discuss the unusual presentation of an acute steroid-induced myopathy in an asthmatic patient.

Key Words: steroid myopathy • asthma • asthmatic amyotrophy • pancuronium

Submitted on August 8, 1985
Accepted on October 24, 1985


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