Cases reported "Guillain-Barre Syndrome"

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1/3. guillain-barre syndrome: delayed diagnosis following anaesthesia.

    guillain-barre syndrome following anaesthesia or surgery is rare. Diagnosis is often delayed, which may lead to an increase in morbidity. There is now good evidence that early diagnosis and treatment reduces this morbidity. The two cases highlight the difficulties with diagnosis in the perioperative period and further discuss the aetiology, diagnostic features and complications of childhood guillain-barre syndrome.
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ranking = 1
keywords = anaesthesia
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2/3. pregnancy, anaesthesia and Guillain Barre syndrome.

    Two case histories of pregnant women with Guillain Barre syndrome (acute demyelinating polyradiculoneuritis) are reported. The first required anaesthesia during the second trimester for a minor surgical procedure. The second woman was admitted to the intensive care Unit in the first trimester and was ventilated for 18 weeks. Both babies were carried to term and delivered by Caesarean section. A review of the management of Guillain Barre syndrome in pregnancy discusses anaesthetic management, intensive care and the use of plasmapheresis and gamma-globulins. The care of pregnant women recovered from Guillain Barre syndrome is also discussed.
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ranking = 1
keywords = anaesthesia
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3/3. coronary artery bypass surgery in Guillain Barre syndrome.

    Guillain Barre Syndrome (GBS) is a rare autoimmune inflammatory polyneuropathy with established acute phase morbidity and mortality. Despite the positive outcome in majority of cases, there is hesitance in subjecting these patients to major surgical interventions under general anaesthesia. This case documents the successful undertaking of major coronary artery grafting under cardiopulmonary bypass and general anaesthesia, in a GBS patient. A review of the pathology is presented and the controversy addressed.
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ranking = 0.4
keywords = anaesthesia
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