SlideShare uma empresa Scribd logo
1 de 25
Critical Care Management of Motor Neuron Disease PJ Papadakos MD FCCM Director CCM Professor Anesthesiology, Surgery and Neurosurgery Rochester NY USA
June 8, 2009
June 8, 2009
ICU-acquired Weakness June 8, 2009
Basic Anatomy
 
 
Pathogenesis? June 8, 2009 Axonopathy UMN lesion Neuropathy NMJ Myopathy
Critical Iliness Neuropathy
Incidence Rate ,[object Object],[object Object],[object Object]
Definition ,[object Object],[object Object],[object Object],[object Object]
Critical illness myopathy and neuropathy Current Opinion in Critical Care 2005; 11:126-132 Fig. Major electroneurographic features in axonal and demyelinating neuropathy
[object Object],[object Object],[object Object],[object Object]
Short-term Outcome ,[object Object],[object Object]
Approach to the comatose patient ,[object Object],[object Object],[object Object]
Acute neuromuscular respiratory failure ,[object Object],[object Object],[object Object],[object Object]
Long-term Outcome ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prevention and Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Conclusion ,[object Object],[object Object]
Spinal Trauma
 

Mais conteúdo relacionado

Mais procurados

Disorders of the neuromuscular junction
Disorders of the neuromuscular junctionDisorders of the neuromuscular junction
Disorders of the neuromuscular junctionNeurology Residency
 
Myasthenia gravis for students part one
Myasthenia gravis for students part oneMyasthenia gravis for students part one
Myasthenia gravis for students part onePratap Tiwari
 
CNS myasthenia gravis davidson 10 MCQs.
 CNS myasthenia gravis davidson 10 MCQs. CNS myasthenia gravis davidson 10 MCQs.
CNS myasthenia gravis davidson 10 MCQs.Shaikhani.
 
Using EKG to Confirm MI in Mouse Model of Permanent LAD Occlusion
Using EKG to Confirm MI in Mouse Model of Permanent LAD OcclusionUsing EKG to Confirm MI in Mouse Model of Permanent LAD Occlusion
Using EKG to Confirm MI in Mouse Model of Permanent LAD OcclusionScintica Instrumentation
 
Neuromuscular Junction Disease
Neuromuscular Junction DiseaseNeuromuscular Junction Disease
Neuromuscular Junction DiseaseMiami Dade
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravisVar Dan
 
Chronic Illness Polyneuromyopathy/ Myopathy
Chronic Illness Polyneuromyopathy/ MyopathyChronic Illness Polyneuromyopathy/ Myopathy
Chronic Illness Polyneuromyopathy/ MyopathyEdJoey Reyes
 
Lambert Eaton Myasthenic Syndrome (LEMS)
Lambert Eaton Myasthenic Syndrome (LEMS)Lambert Eaton Myasthenic Syndrome (LEMS)
Lambert Eaton Myasthenic Syndrome (LEMS)Chee Oh
 
Pregnancy in a young girl with Myasthenia Gravis.
Pregnancy in a young girl with Myasthenia Gravis.Pregnancy in a young girl with Myasthenia Gravis.
Pregnancy in a young girl with Myasthenia Gravis.Anita Aggarwal
 
myasthenia gravis
myasthenia gravismyasthenia gravis
myasthenia graviskhehkesha
 
Critical illness polyneuropathy
Critical illness polyneuropathyCritical illness polyneuropathy
Critical illness polyneuropathySachin Adukia
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravisashabdou
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravisakifab93
 
Congenital Myasthenic Syndrome
Congenital Myasthenic SyndromeCongenital Myasthenic Syndrome
Congenital Myasthenic SyndromeHunterjumper102
 

Mais procurados (20)

Disorders of the neuromuscular junction
Disorders of the neuromuscular junctionDisorders of the neuromuscular junction
Disorders of the neuromuscular junction
 
Myasthenia gravis for students part one
Myasthenia gravis for students part oneMyasthenia gravis for students part one
Myasthenia gravis for students part one
 
CNS myasthenia gravis davidson 10 MCQs.
 CNS myasthenia gravis davidson 10 MCQs. CNS myasthenia gravis davidson 10 MCQs.
CNS myasthenia gravis davidson 10 MCQs.
 
Using EKG to Confirm MI in Mouse Model of Permanent LAD Occlusion
Using EKG to Confirm MI in Mouse Model of Permanent LAD OcclusionUsing EKG to Confirm MI in Mouse Model of Permanent LAD Occlusion
Using EKG to Confirm MI in Mouse Model of Permanent LAD Occlusion
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravis
 
Neuromuscular Junction Disease
Neuromuscular Junction DiseaseNeuromuscular Junction Disease
Neuromuscular Junction Disease
 
Critical Illness Polyneuropathy
Critical Illness PolyneuropathyCritical Illness Polyneuropathy
Critical Illness Polyneuropathy
 
Myasthenia gravis
Myasthenia gravis Myasthenia gravis
Myasthenia gravis
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravis
 
Chronic Illness Polyneuromyopathy/ Myopathy
Chronic Illness Polyneuromyopathy/ MyopathyChronic Illness Polyneuromyopathy/ Myopathy
Chronic Illness Polyneuromyopathy/ Myopathy
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravis
 
Mysthenia gravis
Mysthenia gravisMysthenia gravis
Mysthenia gravis
 
Lambert Eaton Myasthenic Syndrome (LEMS)
Lambert Eaton Myasthenic Syndrome (LEMS)Lambert Eaton Myasthenic Syndrome (LEMS)
Lambert Eaton Myasthenic Syndrome (LEMS)
 
Pregnancy in a young girl with Myasthenia Gravis.
Pregnancy in a young girl with Myasthenia Gravis.Pregnancy in a young girl with Myasthenia Gravis.
Pregnancy in a young girl with Myasthenia Gravis.
 
ICU Acquired Weakness
ICU Acquired WeaknessICU Acquired Weakness
ICU Acquired Weakness
 
myasthenia gravis
myasthenia gravismyasthenia gravis
myasthenia gravis
 
Critical illness polyneuropathy
Critical illness polyneuropathyCritical illness polyneuropathy
Critical illness polyneuropathy
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravis
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravis
 
Congenital Myasthenic Syndrome
Congenital Myasthenic SyndromeCongenital Myasthenic Syndrome
Congenital Myasthenic Syndrome
 

Semelhante a Critical Care Management of Motor Neuron Disease

Critical Illness Neuropathy & Myopathy
Critical Illness Neuropathy & Myopathy Critical Illness Neuropathy & Myopathy
Critical Illness Neuropathy & Myopathy AnandNaik65
 
Syncope
Syncope  Syncope
Syncope SMSRAZA
 
Syncope
Syncope  Syncope
Syncope SMSRAZA
 
Spinal Cord Stimulation Dr Andrew Crockett
Spinal Cord Stimulation   Dr Andrew CrockettSpinal Cord Stimulation   Dr Andrew Crockett
Spinal Cord Stimulation Dr Andrew Crockettepicyclops
 
Pediatric traumatic brain injury presentation
Pediatric traumatic brain injury presentation Pediatric traumatic brain injury presentation
Pediatric traumatic brain injury presentation Robert Parker
 
Electroconvulsiv Therapy Presentation
Electroconvulsiv Therapy PresentationElectroconvulsiv Therapy Presentation
Electroconvulsiv Therapy Presentationchmiel23
 
Positron emission tomographic scan
Positron emission tomographic scanPositron emission tomographic scan
Positron emission tomographic scanPrashant Makhija
 
Advances in myasthenia gravis
Advances in myasthenia gravisAdvances in myasthenia gravis
Advances in myasthenia gravisNeurologyKota
 
Approach to Low Back Pain
Approach to Low Back PainApproach to Low Back Pain
Approach to Low Back PainRK Dahal
 
Regional vs. General Anesthesia in Hip Surgery
Regional vs. General Anesthesia in Hip SurgeryRegional vs. General Anesthesia in Hip Surgery
Regional vs. General Anesthesia in Hip Surgerymeducationdotnet
 
Prophylactic cranial irradiation
Prophylactic cranial irradiationProphylactic cranial irradiation
Prophylactic cranial irradiationspa718
 
Chronic progressive external ophthalmoplegia
Chronic progressive external ophthalmoplegiaChronic progressive external ophthalmoplegia
Chronic progressive external ophthalmoplegiaPS Deb
 
Spine surgeon Dr Arun L Naik Bangalore india
Spine surgeon Dr Arun L Naik Bangalore india Spine surgeon Dr Arun L Naik Bangalore india
Spine surgeon Dr Arun L Naik Bangalore india Dr Arun L Naik
 

Semelhante a Critical Care Management of Motor Neuron Disease (20)

Myasthenia Gravis - Management
Myasthenia Gravis - ManagementMyasthenia Gravis - Management
Myasthenia Gravis - Management
 
Critical Illness Neuropathy & Myopathy
Critical Illness Neuropathy & Myopathy Critical Illness Neuropathy & Myopathy
Critical Illness Neuropathy & Myopathy
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravis
 
Syncope
Syncope  Syncope
Syncope
 
Syncope
Syncope  Syncope
Syncope
 
Spinal Cord Stimulation Dr Andrew Crockett
Spinal Cord Stimulation   Dr Andrew CrockettSpinal Cord Stimulation   Dr Andrew Crockett
Spinal Cord Stimulation Dr Andrew Crockett
 
Pediatric traumatic brain injury presentation
Pediatric traumatic brain injury presentation Pediatric traumatic brain injury presentation
Pediatric traumatic brain injury presentation
 
Electroconvulsiv Therapy Presentation
Electroconvulsiv Therapy PresentationElectroconvulsiv Therapy Presentation
Electroconvulsiv Therapy Presentation
 
post traumatic epilepsy
post traumatic epilepsypost traumatic epilepsy
post traumatic epilepsy
 
Lecture section...Myasthenia Gravis
Lecture section...Myasthenia GravisLecture section...Myasthenia Gravis
Lecture section...Myasthenia Gravis
 
Myasthenia gravis
Myasthenia gravisMyasthenia gravis
Myasthenia gravis
 
Positron emission tomographic scan
Positron emission tomographic scanPositron emission tomographic scan
Positron emission tomographic scan
 
Advances in myasthenia gravis
Advances in myasthenia gravisAdvances in myasthenia gravis
Advances in myasthenia gravis
 
Ra and oa residents
Ra and oa residentsRa and oa residents
Ra and oa residents
 
Approach to Low Back Pain
Approach to Low Back PainApproach to Low Back Pain
Approach to Low Back Pain
 
Regional vs. General Anesthesia in Hip Surgery
Regional vs. General Anesthesia in Hip SurgeryRegional vs. General Anesthesia in Hip Surgery
Regional vs. General Anesthesia in Hip Surgery
 
Prophylactic cranial irradiation
Prophylactic cranial irradiationProphylactic cranial irradiation
Prophylactic cranial irradiation
 
Chronic progressive external ophthalmoplegia
Chronic progressive external ophthalmoplegiaChronic progressive external ophthalmoplegia
Chronic progressive external ophthalmoplegia
 
Spine surgeon Dr Arun L Naik Bangalore india
Spine surgeon Dr Arun L Naik Bangalore india Spine surgeon Dr Arun L Naik Bangalore india
Spine surgeon Dr Arun L Naik Bangalore india
 
Neuromuscular Disease
Neuromuscular DiseaseNeuromuscular Disease
Neuromuscular Disease
 

Mais de Dr.Mahmoud Abbas

EGYPTIAN IMPRINT IN SPAIN Lecture by Dr Abeer Zahana
EGYPTIAN IMPRINT IN SPAIN Lecture by Dr Abeer ZahanaEGYPTIAN IMPRINT IN SPAIN Lecture by Dr Abeer Zahana
EGYPTIAN IMPRINT IN SPAIN Lecture by Dr Abeer ZahanaDr.Mahmoud Abbas
 
Technologies for the Fashion Industry_ What’s new_ (1).pdf
Technologies for the Fashion Industry_ What’s new_  (1).pdfTechnologies for the Fashion Industry_ What’s new_  (1).pdf
Technologies for the Fashion Industry_ What’s new_ (1).pdfDr.Mahmoud Abbas
 
Natural Dyes Greener ways to color textiles.pdf
Natural Dyes Greener ways to color textiles.pdfNatural Dyes Greener ways to color textiles.pdf
Natural Dyes Greener ways to color textiles.pdfDr.Mahmoud Abbas
 
Trends in Active wear and Athleisure.pdf
Trends in Active wear and Athleisure.pdfTrends in Active wear and Athleisure.pdf
Trends in Active wear and Athleisure.pdfDr.Mahmoud Abbas
 
The Changing Role of the Coronary Care Cardiologist & The Emerging Role of Ca...
The Changing Role of the Coronary Care Cardiologist & The Emerging Role of Ca...The Changing Role of the Coronary Care Cardiologist & The Emerging Role of Ca...
The Changing Role of the Coronary Care Cardiologist & The Emerging Role of Ca...Dr.Mahmoud Abbas
 
Drug Induced Kidney Injury in the ICU.pdf
Drug Induced Kidney Injury in the ICU.pdfDrug Induced Kidney Injury in the ICU.pdf
Drug Induced Kidney Injury in the ICU.pdfDr.Mahmoud Abbas
 
Using Novel Kidney Biomarkers to Guide Drug Therapy.pdf
Using Novel Kidney Biomarkers to Guide Drug Therapy.pdfUsing Novel Kidney Biomarkers to Guide Drug Therapy.pdf
Using Novel Kidney Biomarkers to Guide Drug Therapy.pdfDr.Mahmoud Abbas
 
How Textile Digital Printing Changed Interior Designs.pdf
How Textile Digital Printing Changed Interior Designs.pdfHow Textile Digital Printing Changed Interior Designs.pdf
How Textile Digital Printing Changed Interior Designs.pdfDr.Mahmoud Abbas
 
What makes a design fashionable (prints & fashion).pdf
What makes a design fashionable (prints & fashion).pdfWhat makes a design fashionable (prints & fashion).pdf
What makes a design fashionable (prints & fashion).pdfDr.Mahmoud Abbas
 
Use of Steroids in COVID 19- Egyptian Critical Care Summit.pdf
Use of Steroids in COVID 19- Egyptian Critical Care Summit.pdfUse of Steroids in COVID 19- Egyptian Critical Care Summit.pdf
Use of Steroids in COVID 19- Egyptian Critical Care Summit.pdfDr.Mahmoud Abbas
 
Decorative effects on wool fabrics.pdf
Decorative effects on wool fabrics.pdfDecorative effects on wool fabrics.pdf
Decorative effects on wool fabrics.pdfDr.Mahmoud Abbas
 
Technical textiles the future of textile
Technical textiles the future of textileTechnical textiles the future of textile
Technical textiles the future of textileDr.Mahmoud Abbas
 
The future of the jeans sustainable washing cairo textile week
The future of the jeans sustainable washing cairo textile weekThe future of the jeans sustainable washing cairo textile week
The future of the jeans sustainable washing cairo textile weekDr.Mahmoud Abbas
 
Why Egypt should be competitive in the Global Denim Supply Chain?
Why Egypt should be competitive in the Global Denim Supply Chain?Why Egypt should be competitive in the Global Denim Supply Chain?
Why Egypt should be competitive in the Global Denim Supply Chain?Dr.Mahmoud Abbas
 
Cairo Textile Week 2021 Conference -Egypt Textiles & Home Textiles Export Cou...
Cairo Textile Week 2021 Conference -Egypt Textiles & Home Textiles Export Cou...Cairo Textile Week 2021 Conference -Egypt Textiles & Home Textiles Export Cou...
Cairo Textile Week 2021 Conference -Egypt Textiles & Home Textiles Export Cou...Dr.Mahmoud Abbas
 
Non operative management of blunt abdominal trauma
Non operative management of blunt abdominal traumaNon operative management of blunt abdominal trauma
Non operative management of blunt abdominal traumaDr.Mahmoud Abbas
 
History of critical care center cairo university
History of critical care center cairo universityHistory of critical care center cairo university
History of critical care center cairo universityDr.Mahmoud Abbas
 
Kemet presentation itex cairo 2021
Kemet presentation itex cairo 2021 Kemet presentation itex cairo 2021
Kemet presentation itex cairo 2021 Dr.Mahmoud Abbas
 
Incorporating printed fabrics in interior decoration and acoustic panels
Incorporating printed fabrics in interior decoration and acoustic panelsIncorporating printed fabrics in interior decoration and acoustic panels
Incorporating printed fabrics in interior decoration and acoustic panelsDr.Mahmoud Abbas
 
How digital printing is adding value to active wear and athleisure?
How digital printing is adding value to active wear and athleisure?How digital printing is adding value to active wear and athleisure?
How digital printing is adding value to active wear and athleisure?Dr.Mahmoud Abbas
 

Mais de Dr.Mahmoud Abbas (20)

EGYPTIAN IMPRINT IN SPAIN Lecture by Dr Abeer Zahana
EGYPTIAN IMPRINT IN SPAIN Lecture by Dr Abeer ZahanaEGYPTIAN IMPRINT IN SPAIN Lecture by Dr Abeer Zahana
EGYPTIAN IMPRINT IN SPAIN Lecture by Dr Abeer Zahana
 
Technologies for the Fashion Industry_ What’s new_ (1).pdf
Technologies for the Fashion Industry_ What’s new_  (1).pdfTechnologies for the Fashion Industry_ What’s new_  (1).pdf
Technologies for the Fashion Industry_ What’s new_ (1).pdf
 
Natural Dyes Greener ways to color textiles.pdf
Natural Dyes Greener ways to color textiles.pdfNatural Dyes Greener ways to color textiles.pdf
Natural Dyes Greener ways to color textiles.pdf
 
Trends in Active wear and Athleisure.pdf
Trends in Active wear and Athleisure.pdfTrends in Active wear and Athleisure.pdf
Trends in Active wear and Athleisure.pdf
 
The Changing Role of the Coronary Care Cardiologist & The Emerging Role of Ca...
The Changing Role of the Coronary Care Cardiologist & The Emerging Role of Ca...The Changing Role of the Coronary Care Cardiologist & The Emerging Role of Ca...
The Changing Role of the Coronary Care Cardiologist & The Emerging Role of Ca...
 
Drug Induced Kidney Injury in the ICU.pdf
Drug Induced Kidney Injury in the ICU.pdfDrug Induced Kidney Injury in the ICU.pdf
Drug Induced Kidney Injury in the ICU.pdf
 
Using Novel Kidney Biomarkers to Guide Drug Therapy.pdf
Using Novel Kidney Biomarkers to Guide Drug Therapy.pdfUsing Novel Kidney Biomarkers to Guide Drug Therapy.pdf
Using Novel Kidney Biomarkers to Guide Drug Therapy.pdf
 
How Textile Digital Printing Changed Interior Designs.pdf
How Textile Digital Printing Changed Interior Designs.pdfHow Textile Digital Printing Changed Interior Designs.pdf
How Textile Digital Printing Changed Interior Designs.pdf
 
What makes a design fashionable (prints & fashion).pdf
What makes a design fashionable (prints & fashion).pdfWhat makes a design fashionable (prints & fashion).pdf
What makes a design fashionable (prints & fashion).pdf
 
Use of Steroids in COVID 19- Egyptian Critical Care Summit.pdf
Use of Steroids in COVID 19- Egyptian Critical Care Summit.pdfUse of Steroids in COVID 19- Egyptian Critical Care Summit.pdf
Use of Steroids in COVID 19- Egyptian Critical Care Summit.pdf
 
Decorative effects on wool fabrics.pdf
Decorative effects on wool fabrics.pdfDecorative effects on wool fabrics.pdf
Decorative effects on wool fabrics.pdf
 
Technical textiles the future of textile
Technical textiles the future of textileTechnical textiles the future of textile
Technical textiles the future of textile
 
The future of the jeans sustainable washing cairo textile week
The future of the jeans sustainable washing cairo textile weekThe future of the jeans sustainable washing cairo textile week
The future of the jeans sustainable washing cairo textile week
 
Why Egypt should be competitive in the Global Denim Supply Chain?
Why Egypt should be competitive in the Global Denim Supply Chain?Why Egypt should be competitive in the Global Denim Supply Chain?
Why Egypt should be competitive in the Global Denim Supply Chain?
 
Cairo Textile Week 2021 Conference -Egypt Textiles & Home Textiles Export Cou...
Cairo Textile Week 2021 Conference -Egypt Textiles & Home Textiles Export Cou...Cairo Textile Week 2021 Conference -Egypt Textiles & Home Textiles Export Cou...
Cairo Textile Week 2021 Conference -Egypt Textiles & Home Textiles Export Cou...
 
Non operative management of blunt abdominal trauma
Non operative management of blunt abdominal traumaNon operative management of blunt abdominal trauma
Non operative management of blunt abdominal trauma
 
History of critical care center cairo university
History of critical care center cairo universityHistory of critical care center cairo university
History of critical care center cairo university
 
Kemet presentation itex cairo 2021
Kemet presentation itex cairo 2021 Kemet presentation itex cairo 2021
Kemet presentation itex cairo 2021
 
Incorporating printed fabrics in interior decoration and acoustic panels
Incorporating printed fabrics in interior decoration and acoustic panelsIncorporating printed fabrics in interior decoration and acoustic panels
Incorporating printed fabrics in interior decoration and acoustic panels
 
How digital printing is adding value to active wear and athleisure?
How digital printing is adding value to active wear and athleisure?How digital printing is adding value to active wear and athleisure?
How digital printing is adding value to active wear and athleisure?
 

Último

VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...chandars293
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...chandars293
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...narwatsonia7
 
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...perfect solution
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeCall Girls Delhi
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...narwatsonia7
 
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...narwatsonia7
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 

Último (20)

VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
 
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
 
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 9332606886  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 9332606886 Meetin With Bangalore Esc...
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
 

Critical Care Management of Motor Neuron Disease