Fulminant Gullian-Baree syndrome mimicking cerebral death: case report
New Egyptian Journal of Medicine [The]. 2010; 43 (5): 332-334
in English
| IMEMR
| ID: emr-125219
ABSTRACT
The Guillian-Baree syndrome [GBS] may present with a wide range of clinical pictures and many variants of typical syndrome are now recognized. Sporadic reports have described the occurrence of acute severe inflammatory polyneuropathy leading to a complete areflexic paralysis[2-3]. So, we described a patient that presented with a rapid course of neurological deterioration lapsing into what resembled a clinically brain-dead state that was subsequently ascribed to a fulminant polyneropathy. Investigations [electrophysiological and pathological] and the clinical course suggested an axonal neuropathy. A fulminant neuropathy can result in a clinical state resembling brain-death through diffuse differentiation, although generally attributed to aggressive demyelination with secondary axonal degeneration. A primary axonopathy can also lead to a similar clinical presentation. NB. This case was reported as the first case diagnosed in Farawnya Hospital and the first case reported in Kuwait
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Brain Death
/
Magnetic Resonance Imaging
/
Demyelinating Diseases
Type of study:
Case report
Limits:
Female
/
Humans
Language:
English
Journal:
New Egypt. J. Med.
Year:
2010
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