Posterior reversible encephalopathy as the initial manifestation of a Guillain-Barré syndrome.
Autor(es): Sutter R.; Mengiardi B.; Lyrer P.; Czaplinski A.
Resumo: We report a female patient with posterior reversible encephalopathy syndrome as the initial manifestation of a Guillain-Barré syndrome. She presented with headache and paraesthesias of the fingertips three days after gastroenteritis. Examination revealed hypertension and tachypnoea. Brain MRI showed a bi-occipital vasogenic edema consistent with the syndrome. Subsequent examination showed a tetraparesis. Cerebrospinal fluid analyses revealed albuminocytologic dissociation and the diagnosis of Guillain-Barré syndrome was made. The typical radiological and clinical features of posterior reversible encephalopathy syndrome (headache and hypertension) were present prior to the clinical manifestation of Guillain-Barré syndrome. We suggest posterior reversible encephalopathy syndrome to be considered as an initial manifestation of Guillain-Barré syndrome.
Imprenta: Neuromuscular Disorders, v. 19, n. 10, p. 709-710, 2009
Identificador do objeto digital: 10.1016/j.nmd.2009.06.370
Descritores: Guillain-Barre Syndrome - Cytopathology ; Guillain-Barre Syndrome - Clinical examination
Data de publicação: 2009
