A case of a recurrent GBS

Authors

  • Md Mahabub Morshed Intensive Care Unit of Dhaka Medical College Hospital, Dhaka
  • AKM Ferdous Rahman Intensive Care Unit of Dhaka Medical College Hospital, Dhaka
  • Syed Tariq Reza Intensive Care Unit of Dhaka Medical College Hospital, Dhaka
  • Muhammad Asaduzzaman Intensive Care Unit of Dhaka Medical College Hospital, Dhaka
  • Mohammad Selim Intensive Care Unit of Dhaka Medical College Hospital, Dhaka
  • Mohammad Asrafuzzaman Intensive Care Unit of Dhaka Medical College Hospital, Dhaka

DOI:

https://doi.org/10.3329/bccj.v5i2.34397

Keywords:

Recurrent Guillain-Barré syndrome (GBS), Acute motor axonal neuropathy(AMAN), Asymptomatic period

Abstract

Background: Guillain-Barré syndrome is an acquired polyradiculo-neuropathy, often preceded by an antecedent event. It is a monophasic disease but a recurrence rate of 16 % is documented in a subset group of patients.

Case presentation: Thirty-five-years-old female with past history of near complete recovery following Guillain-Barré syndrome 17 years back presented with acute, ascending symmetrical flaccid quadriparasis extending to bulbar muscles and respiratory compromise needing mechanical ventilation. Nerve conduction study revealed AMAN variant of Guillain-Barré syndrome. Cerebrospinal fluid analysis done after 1 weeks during recurrent episode revealed albuminocytologic dissociation. She was treated with intravenous immunoglobulin resulting in a remarkable recovery.

Conclusion: Recurrence of Guillain-Barré syndrome can occur in a subset of patients with Guillain-Barré syndrome even after many years of asymptomatic period. Most patients with recurrent GBS respond favourably to treatment with plasmapheresis or IVIG.

Bangladesh Crit Care J September 2017; 5(2): 135-138

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Published

2017-10-22

How to Cite

Morshed, M. M., Rahman, A. F., Reza, S. T., Asaduzzaman, M., Selim, M., & Asrafuzzaman, M. (2017). A case of a recurrent GBS. Bangladesh Critical Care Journal, 5(2), 135–138. https://doi.org/10.3329/bccj.v5i2.34397

Issue

Vol. 5 No. 2 (2017)

Section

Case Reports

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