A 62-year old man was treated for urinary infection a week after surgical intervention for nephrolithiasis. He was administered ciprofloxacin 500 mg twice a day. After four days of treatment with antibiotics, the patient started to develop severe numbness in the feet, gradually ascending towards the calves and sensory disturbances in the hands.
Examination Full strength in extremities Vibratory sensory distal deficit Patellar and Achilles reflex absent No involvement of cranial nerves No ataxia or other autonomic features reported Electrodiagnostic test Performed in the 4 th Peroneal and tibial nerve not excitable Sensory nerves in the lower limb not excitable Amplitudes of compound motor action potentials of the median and ulnar nerve: low by 80% than normal Sensory and motor nerve conduction velocity were severely diminished, with temporal dispensation. No conduction blocks…
