Abstract
Rare presentation of Guillain-Barre syndrome with complete heart block and neuropathic chest pain mimicking acute coronary syndrome: a case report
Highlights
Guillain-Barre syndrome (GBS) is an inflammatory disorder caused by the body’s immune system damaging the peripheral nervous system
We report a rare case of an autonomic variant of Guillain-Barre syndrome that presented with complete heart block
After treatment with immunoglobulin the weakness and neuropathic pain significantly improved and complete heart block reverted to sinus rhythm within first 24 hours of treatment
Summary
Guillain-Barre syndrome (GBS) is an inflammatory disorder caused by the body’s immune system damaging the peripheral nervous system. The most common type of Guillain-Barre syndrome is acute inflammatory demyelinating polyradiculoneuropathy (AIDP) presenting as muscular weakness with areflexia arising in the lower limbs and ascending gradually in more than 90% of patients [1]. We report a rare case of an autonomic variant of Guillain-Barre syndrome that presented with complete heart block. After treatment with immunoglobulin the weakness and neuropathic pain significantly improved and complete heart block reverted to sinus rhythm within first 24 hours of treatment. He recovered completely without any residual neurological deficits and he did not need atropine or a pace maker to maintain the heart rate
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