Report suspected cases to CDC/department of health
Respiratory:
Consider intubation for airway protection if evidence of bulbar dysfunction
Consider NIPPV if evidence of respiratory muscle weakness (by clinical exam, hypoxia, hypercarbia, vital capacity <15 mL/kg, or NIF <30)
Treat neuropathic pain
Elevate head of bed >30 degrees
No evidence of benefit from corticosteroids, IVIG, plasmapheresis, or antivirals as of yet
Consider intubation for airway protection if evidence of bulbar dysfunction
Consider NIPPV if evidence of respiratory muscle weakness (by clinical exam, hypoxia, hypercarbia, vital capacity <15 mL/kg, or NIF <30)
Acute flaccid myelitis
Neuromuscular weakness
Transverse myelitis
Upper motor neuron:
Amyotrophic lateral sclerosis
CVA
Lateral medullary syndrome
Hemorrhagic stroke