Guillain Barre syndrome and pregnancy

Authors

  • Pedro Pablo Quintero Paredes Policlínico universitario"Pedro Borrás Astorga". Pinar del Río.

Keywords:

Guillain-Barre syndrome, Pregnancy.

Abstract

Introduction: Guillain-Barre syndrome is an acute motor polyneuropathy of the immune mechanism, characterized by a rapidly progressive loss of strength, it is rare in pregnancy.
Case report: a 37 year- old, second pregnancy, 26 weeks of gestation woman was referred by the basic health team and admitted in the Intensive Care Unit. She was diagnosed with weak state in muscle tone and loss of strength in the four limbs, progressively appearing; markedly in both lower limbs for a week, speech difficulties, dropping of eyelids and high blood pressure. The diagnosis of Guillain-Barre syndrome was confirmed. The nerve conduction study shows axon-myelin polyneuropathy with sensory-motor-axonal predominance, moderate to severe intensity, which affects all of the peripheral nerves explored. On the third day of admission in the ICU she presented decompensation of blood pressure and diarrhea, interpreting these symptoms as pseudomembranous colitis. She underwent physiotherapy, rehabilitation and specific drug treatment. She was discharged from the hospital at 28.6 weeks of gestation with satisfactory evolution. A cesarean section was performed at 39.5 weeks of gestation. The newborn had good weight and Apgar.
Conclusions: Guillain-Barre syndrome is an atypical presentation during pregnancy; few cases are reported in the world medical literature. Its management is not modified because of this rare association, which is centered on avoiding complications, reaching a normal delivery and good health of the newborn, as well as the mother recovery.

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Author Biography

Pedro Pablo Quintero Paredes, Policlínico universitario"Pedro Borrás Astorga". Pinar del Río.

Dr en Medicina. Especialista de Primer y Segundo Grado en Ginecología y Obstetricia. Máster en Atención Integral a la Mujer. Dr.C. Pedagógicas. Profesor Titular e Investigador Auxiliar.

References

1. Acosta M, Cañizá M, Romano M. Síndrome de Guillain Barré. Revista de Postgrado de la VIa Cátedra de Medicina. Abril, 2007; 168.

2. González I, Sanz I, Rodríguez de Rivera F , Arpa J. Guillain-Barré Syndrome: Natural history and prognostic factors: a retrospective review of 106 cases. BMC Neurology, 2013; 13: 95.

3. Sánchez A, Mata C, Calderón D. Síndrome Guillain-Barré. Revista Médica de Costa Rica y Centroamérica 2014; 71(610): 261-265.

4. Sharma A, Lal V, Modi M, Vaishnavi C, Prabhakar S. Campylobacter jejuni infection in Guillain-Barré syndrome: A prospective case control study in a tertiary care hospital. Neurology India, 2011; 59(5): 717.

5. Stowe J, Andrews N, Wise L, Miller E. Investigation of theTemporal Association of Guillain-Barre Syndrome With Influenza Vaccine and Influenza like Illness Using the United Kingdom General Practice Research Database. Am J Epidemiol 2009; 169(3): 382-388.

6. Valera Valero CA, Ortega Callava E, Sánchez Casas Y, González Blanco A,Zayas Bazán CR. Síndrome de Guillian-Barré y embarazo. Reporte de dos casos. Archivo Médico de Camagüey. 2008; 12(2).

7. Sánchez López JV, Chao Campanioni L, Chávez Esparís JA, Domínguez Guardia L, y col. Caracterización clínica del Síndrome de Guillain-Barré. Rev Cub Med Int Emerg. 2012; 11(2): 2398-2408.

8. Hughes RA, Rees JH. Clinical and epidemiologic features of Guillain-Barré syndrome. Journal of Infectious Diseases. 1997; 176(Suppl 2): S92-S98.

9. Kuller JA, Katz VL, McCoy MC. Pregnancy complicated by Guillain Barre syndrome. South Med J. 1995; 88: 987-989.

10. Hurley TJ, Brunson AD, Archer RL, Lefler SF, Quirk JG Jr. Landry Guillain Barré Sthol Syndrome in pregnancy: report of three cases treated with plasmapheresis. Obstet Gynecol. Mex. 1991; 78(3 Pt 2): 482-485.

11. Yuki N, Hartung HP. Guillain-Barré syndrome. New England Journal of Medicine. 2012; 366:2294-2304.

12. Taboada R, González G, García A. Alberti M, Scavone C. Protocolo diagnóstico y terapéutico del Síndrome de Guillain-Barré. Arch Pediatr Urug 2008; 79(1): 58-62.

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Published

2015-10-28

How to Cite

1.
Quintero Paredes PP. Guillain Barre syndrome and pregnancy. Rev Ciencias Médicas [Internet]. 2015 Oct. 28 [cited 2026 Feb. 13];19(5):965-72. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/2348

Issue

Vol. 19 No. 5 (2015)

Section

CASE REPORTS

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