Guillain-Barré Syndrome with Absent Brainstem Reflexes: a Case Report

Gordon Chaves, Susana and Aguiar, Teresa Carolina and Câmara, Margarida and Nóbrega, Júlio and Sousa, Orlando (2014) Guillain-Barré Syndrome with Absent Brainstem Reflexes: a Case Report. European Journal of Case Reports in Internal Medicine, 1 (1). pp. 1-5. ISSN 2284-2594

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A 41-year-old man was admitted to an intensive care unit following respiratory arrest. One day prior to admission, he had complaints of nausea and pain involving lower limbs. On the night of admission he developed diplopia, dysphagia, and rapidly progressive quadriparesis. He developed respiratory failure requiring mechanical lung ventilation 24 hours later. On the fifth day of hospital stay the patient became comatose with absent brainstem reflexes and appeared to be brain dead. The cerebrospinal fluid showed albuminocytological dissociation. The electroencephalogram revealed an alpha rhythmical activity. The electrophysiological evaluation revealed an inexcitability of all nerves. Guillain-Barré syndrome was suspected. With supportive treatment the patient had a remarkable recovery and now is able to independently conduct his daily activities.

Item Type: Article
Uncontrolled Keywords: Guillain–Barré syndrome, autonomic neuropathy, axonopathy, demyelination, brain death, inexcitable nerves
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale)
Depositing User: Chiara D'Arpa
Date Deposited: 07 Sep 2016 15:53
Last Modified: 07 Sep 2016 15:53

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