Cim
Critical illness polyneuropathy (CIP) and critical illness myopathy (CIM) are overlapping syndromes of diffuse, symmetric, flaccid muscle weakness occurring in critically ill patients and involving all extremities and the diaphragm with relative sparing of the cranial nerves.
CIP and CIM have similar symptoms and presentations and are often distinguished largely on the basis of specialized electrophysiologic testing or muscle and nerve biopsy. The causes of CIP and CIM are unknown, though they are thought to be a possible neurological manifestation of systemic inflammatory response syndrome. Corticosteroids and neuromuscular blocking agents, which are widely used in intensive care, may contribute to the development of CIP and CIM, as may elevations in blood sugar, which frequently occur in critically ill patients.
Getting around Cim the local way
- Get inA sept-places (7-seat shared taxi) from Ziguinchor, Senegal, costs CFA 4,000.
- Get aroundThere are also minibuses "toca-tocas" going on fixed routes, you'll pay CFA 100 a person for the ride, but the buses are often very crowded!
- Go nexttake a pirogue directly for CFA 3500 (luggage excluded, takes 2.5 hours), or the ferry to Enxude (CFA 9000), then the truck/bus to São João, then a Pirogue to Bolama (CFA 300).
From Wikivoyage: Bissau, CC BY-SA. Not yet checked by us. Last edited 2026-09.
Text adapted from Wikipedia, CC BY-SA 4.0.