Abstract
Guillain-Barre syndrome (GBS) manifests as acute flaccid weakness of limbs, and is considered a monophasic illness. But recurrences have been reported. Published case studies suggest that 1- 5% of patients who had GBS will have recurrent attacks. We describe a 66-year-old lady who presented with acute onset descending, symmetrical, areflexic, flaccid quadriparesis that progressed to respiratory failure. She had a history of GBS five years back of which she had made a complete recovery with no residual weakness. The diagnosis of recurrent GBS was made
Highlights
Recurrent Guillain-Barre syndrome (GBS) is rare but presents a diagnostic challenge
We report a 66-year-old lady who presented with a second episode of GBS after an interval of five years
Patient was intubated and ventilated, and transferred to the intensive care unitduring the night of the day of admission. Her cerebrospinal fluid (CSF) protein was 54 mg/dl with albuminocytologic dissociation and the nerve conduction wasreported as acute inflammatory demyelinating polyneuropathy (AIDP)
Summary
Recurrent GBS is rare but presents a diagnostic challenge. We report a 66-year-old lady who presented with a second episode of GBS after an interval of five years. Second episode Sixty six-year-old house wife from Medirigiriya, was admitted to the local hospital due to generalized weakness in her upper limbs in the morning. The weakness descended rapidly during the day to involve the lower limbs and was transferred to Teaching Hospital Anuradhapura (THA).
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
