Guillain-Barre Syndrome Deterioration After an Abdominal Surgery; A Case Report
Iranian Journal of Child Neurology,
Vol. 16 No. 2 (2022),
14 March 2022
,
Page 155-159
https://doi.org/10.22037/ijcn.v15i3.30815
Abstract
Guillain-Barre syndrome is an acute ascending paralysis accompanied with autonomic symptoms like abdominal pain. Here we present a 13-year-old boy with lower extremities pain and sensory disturbances with presumptive diagnosis of Guillain-Barre syndrome who experienced severe progression of disease after receiving general anesthesia due to an appendectomy. Whether the progression was due to the natural history of GBS, immunosuppression induced by surgical stress, or usage of anesthetic medications remained unclear.
- Guillain-Barre syndrome
- progression
- anesthesia
- acute abdomen
How to Cite
References
Leonhard SE, Mandarakas MR, Gondim FAA, Bateman K, Ferreira MLB, Cornblath DR, et al. Diagnosis and management of Guillain-Barré syndrome in ten steps. Nat Rev Neurol. 2019;15(11):671-83.
Auger N, Quach C, Healy-Profitós J, Dinh T, Chassé M. Early predictors of Guillain-Barré syndrome in the life course of women. Int J Epidemiol. 2018;47(1):280-8.
Malcom Rabie, Stephen Ashwal, Yoram Nevo. Inflammatory neuropathies. In: Swaiman KF, Ashwal S, Ferriero DM, Schor NF, Fenikel RS, Gropman AL, et al. Swaiman’s Pediatric Neurology: Principles, and Practice.6th ed.Elsevier;2018:p.1087
Sadek AA, Abou-Taleb A, Ali WA. Outcome of Guillain - Barré Syndrome in Children: A prospective cohort study in a tertiary hospital in Upper Egypt. Electron Physician. 2016;8(12):3318-24.
Kumar M, Aroor S, Mundkur S, Kumar S. Guillain-barre syndrome: a clinical study of twenty children. Journal of clinical and diagnostic research : JCDR. 2015;9(1):Sc09-12.
Fujimura H. The Guillain-Barre syndrome. Handbook of clinical neurology. 2013;115:383-402.
Verma R, Chaudhari TS, Raut TP, Garg RK. Clinico-electrophysiological profile and predictors of functional outcome in Guillain-Barre syndrome (GBS). Journal of the neurological sciences. 2013;335(1-2):105-11.
Kalita J, Kumar M, Misra UK. Role of IV Immunoglobulin in Indian Children With Guillain-Barre Syndrome. Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies. 2019;20(7):652-9.
Kar SK, Bhuniya RC, Basu R, Dutta S, Dasgupta CS, et al. Unusual variant of Guillain-Barré syndrome following hepato-biliary surgery — A rare case report. J Case Rep 2014;2:507.
Smitha KS, Patil M, Babu AS. Guillain-Barre Syndrome after General Anesthesia for Endoscopic Retrograde Cholangiopancreatography: A Case Report. Int J Sci Stud 2016;3(11):284-286.
Algahtani H, Moulin DE, Bolton CF, Abulaban AA. Guillain-Barre syndrome following cardiac surgery: difficult diagnosis in the intensive care unit. Neurosciences 2009;14:374–378.
Hocker S, Nagarajan E, Rubin M, Wijdicks EFM. Clinical factors associated with Guillain-Barré syndrome following surgery. Neurol Clin Pract. 2018;8(3):201–206.
Gipson C, Tobias J. Perioperative care of the child with guillain-barre syndrome. Saudi Journal of Anaesthesia. 2008;2(2):67-73.
Naguib M, Flood P, McArdle JJ, Brenner HR. Advances in neurobiology of the neuromuscular junction: Implications for the anesthesiologist. Anesthesiol 2002; 96: 202-231.
Plaugher ME. Emergent exploratory laparotomy for a patient with recent Guillain-Barre recurrence: A case report. JANA 1994;62:437-440.
Gensicke H, Datta AN, Dill P, Schindler C, Fischer D. Increased incidence of Guillain-Barré syndrome after surgery. Eur J Neurol 2012;19:1239–1244.
Parobeck V, Burnham S, Laukhuf GA. An unusual nursing challenge: Guillain-Barre syndrome following cranial surgery. J Neurosci Nurs 1992;24:251-255.
Michas G, Nikolopoulou A, Varitimidis, Xydia N. A rare case of Guillain-Barré syndrome presenting with abdominal pain. Hippokratia. 2015;19(4):374-5.
- Abstract Viewed: 696 times