Guillain-Barré Syndrome with Absent Brainstem Reflexes: a Case Report

Susana Chaves, Teresa Aguiar, Margarida Câmara, Júlio Nóbrega, Orlando Sousa
2014 European Journal of Case Reports in Internal Medicine  
A 41--year--old man was admitted to an intensive care unit following respiratory arrest. One day prior to admission, he had complained of nausea and pain involving the lower limbs. On the night of admission, he developed diplopia, dysphagia and rapidly progressive quadriparesis. He developed respiratory failure requiring mechanical lung ventilation 24 hours later. On the fifth day of his hospital stay, the patient became comatose with absent brainstem reflexes and appeared to be brain dead. The
more » ... be brain dead. The cerebrospinal fluid showed albuminocytological dissociation. The electroencephalogram revealed an alpha rhythmic activity. The electrophysiological evaluation revealed an inexcitability of all nerves. Guillain-Barré syndrome was suspected. With supportive treatment, the patient had a remarkable recovery and now is able to independently conduct his daily activities.
doi:10.12890/2014_000056 fatcat:5frfac532jcutmsf4an5v7woua