Bilateral medial medullary infarction presenting as Guillain Barré Syndrome: A diagnostic challenge

2015 ◽  
Vol 352 (1-2) ◽  
pp. 135-136 ◽  
Author(s):  
Mayra Montalvo ◽  
Rushna Ali ◽  
Muhib Khan
2021 ◽  
Vol 88 (3) ◽  
pp. 105144
Author(s):  
Stanislas Demuth ◽  
Renaud Felten ◽  
Christelle Sordet ◽  
Emmanuel Chatelus ◽  
Jean-Baptiste Chanson ◽  
...  

2021 ◽  
Vol 8 (4) ◽  
pp. 580-581
Author(s):  
Srimathy Raman ◽  
Lavanya Rao ◽  
Prakruthi KP ◽  
Padmalatha Venkataram

Guillain Barre Syndrome is a rare immune mediated acute demyelinating polyradiculopathy, uncommon in pregnancy, but with increased mortality and morbidity. It poses a great diagnostic challenge. Good outcomes can be achieved in these patients with multidisciplinary team involvement. We would like to highlight the need for obstetricians to keep this rare cause in mind by describing the case report of a pregnant lady who presented to our hospital with muscle weakness and how timely diagnosis by appropriate investigations-nerve conduction studies and timely treatment with IVIG prevented complications. 1. Delay in diagnosis is common in pregnancy due to initial nonspecific symptoms which mimic changes in pregnancy. 2. GBS should be considered in pregnant patients presenting with weakness, tingling and numbness. 3. Early diagnosis by involving multidisciplinary team, appropriate investigations (NCS) and prompt initiation of immunomodulatory treatment improves outcomes. 4. Management in pregnancy is like that in the non-pregnant population.


EMJ Neurology ◽  
2020 ◽  
pp. 115-121
Author(s):  
Muhammad Sohaib Asghar ◽  
Abubakar Tauseef ◽  
Maryam Zafar ◽  
Syed Anosh Ali Naqvi ◽  
Uzma Rasheed ◽  
...  

Guillain–Barré syndrome (GBS) is a form of rapidly progressive, acute inflammatory demyelinating polyradiculopathy. Acute inflammatory demyelinating polyradiculopathy is the most common variant of GBS, especially in the western hemisphere. It is diagnosed without hesitation when it presents with its characteristic clinical features of ascending paralysis and areflexia. It is when an atypical presentation appears, with brisk or very brisk reflexes, that diagnosis becomes difficult. In this case, a patient who presented with progressive motor weakness, unilateral facial palsy, and hyperreflexia on examination is described in order to demonstrate a variant of GBS and its management. Keeping in mind that the management of the disease does not change with the variant, the diagnostic challenge that is put forward by those variants needs a focussed approach by physicians.


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