Fulminant Guillain-Barré Syndrome Post Hemorrhagic Stroke: Two Case Reports.
Sameeh AbdulmanaNaif Al-ZahraniYahya SharahelyShahid BashirTalal M Al-HarbiPublished in: Neurology international (2021)
Guillain-Barré syndrome (GBS) is an acute, immune-mediated inflammatory peripheral polyneuropathy characterized by ascending paralysis. Most GBS cases follow gastrointestinal or chest infections. Some patients have been reported either following or concomitant with head trauma, neurosurgical procedures, and rarely hemorrhagic stroke. The exact pathogenesis is not entirely understood. However, blood-brain barrier damage may play an essential role in triggering the autoimmune activation that leads to post-stroke GBS. Here, we present two cases of fulminant GBS following hemorrhagic stroke to remind clinicians to be aware of this rare treatable complication if a stroke patient develops unexplainable flaccid paralysis with or without respiratory distress.
Keyphrases
- blood brain barrier
- atrial fibrillation
- case report
- cerebral ischemia
- liver failure
- end stage renal disease
- newly diagnosed
- ejection fraction
- chronic kidney disease
- multiple sclerosis
- prognostic factors
- peritoneal dialysis
- palliative care
- drug induced
- intensive care unit
- subarachnoid hemorrhage
- optical coherence tomography
- patient reported outcomes
- respiratory failure
- density functional theory
- pulmonary hypertension
- acute respiratory distress syndrome