Table 2. Patients’ neurological findings at follow-up visit.
Patient | Sensory signs | Motor signs | Dysautonomic signs | Finger wrinkling test | Follow-up (days after ICU discharge) | GCS | Outcome mRS |
---|---|---|---|---|---|---|---|
No. | Eye-Motor-Verbal | ||||||
1 | NA | NA | NA | NA | 6 months | / | 6 |
2 | Sensory loss, severe paroxysmal pain (NRS 9/10) and continuous burning pain (NRS 3/10) in lower limbs; dynamic mechanic allodynia | Spastic paraparesis | None | 3 | 13 months | 15 | 4 |
3 | NA | NA | NA | NA | 9 months | / | 6 |
4 | Grimacing and limb movements after pain stimulation of lower limbs; no reaction after upper limb stimulation | Spontaneous limb movements, pyramidal signs. | None | 3 | 9 months | 4-5-1 (global aphasia) | 5 |
5 | None | Left hemiparesis | None | 4 | 9 months | 15 | 3 |
6 | Not assessable | Spastic tetraplegia | None | 3 | 8 months | 4-3-1 | 5 |
7 | None | None | None | 3 | 10 months | 15 | 1 |
8 | Sensory loss, burning pain (NRS 5/10) | Spastic paraplegia, upper limb weakness | None | NA | 10 months | 4-6-2 | 5 |
9 | Not assessable | Spastic tetraplegia | Orthostatic hypotension, tachycardia, abnormal sweating, clammy skin | 1 | 10 months | 4-2-1 (VS) | 5 |
10 | Not assessable | Flaccid tetraplegia | Orthostatic hypotension, tachycardia, abnormal sweating, clammy skin | NA | 10 months | 4-1-1 (MCS) | 5 |
11 | None | None | None | NA | 10 months | 15 | 1 |
12 | Light touch, pinprick, and vibratory sensory loss with stocking-glove distribution; burning pain at distal lower limbs (NRS 4/10) | Reduced foot dorsiflexion | None | 3 | 9 months | 15 | 3 |
13 | Grimacing after pain stimulation of upper and lower limbs | Upper limb extension and lower limb flexion after painful stimulation | Tachycardia, abnormal sweating | NA | 8 months | 4-2-1 (MCS) | 5 |
14 | None | Right hemiparesis | None | 4 | 8 months | 15 | 4 |
Finger wrinkling test: scores from 0 to 2 indicate abnormal skin wrinkling; score of 3 or 4 indicate normal skin wrinkling. GCS, Glasgow Coma Scale. mRS, modified Rankin Scale: 0= no symptoms; 1= no significant disability despite symptoms; 2, 3= mild or moderate disability; 4= moderate-to-severe disability; 5= severe disability; 6=dead. VS, vegetative state. MCS, minimally conscious state.