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

Downloads

Download data is not yet available.
Abstract
25
PDF
68

Downloads

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

License

Upon acceptance for publication the copyright of the paper automatically transfers to the BCCJ and will not be published elsewhere either in part or whole without written permission of the copyright holder.

Except for personal use, no part of the materials published in this journal may be reproduced, stored in a retrieval system or transmitted in any form or by any means electronic, photocopying, recording or otherwise without the prior written permission of the publisher.