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Severe Dysautonomic Onset of Guillain-Barré Syndrome with Good Recovery. A Clinical and Autonomic Follow-up Study

Overview
Specialty Neurology
Date 1990 Apr 1
PMID 2361852
Citations 3
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Abstract

A 39 year old man with acute panautonomic and mild somatic neuropathy had severe postural hypotension 1 week after onset. Porphyric neuropathy was excluded. The final diagnosis was Guillain-Barré syndrome (GBS). After 2 months he began to recover progressively and after 9 months he presented asymptomatic postural hypotension. We consider the hypothesis of a spectrum of clinico-pathological entities at one end of which lies GBS with autonomic signs and at the other acute pure dysautonomia. The site of the autonomic lesion, might have been in post-ganglionic sympathetic fibers and vagus nerve.

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References
1.
Clarke E, BAYLISS R, Cooper R . Landry-Guillain-Barré syndrome: cardiovascular complications; treatment with A.C.T.H. and cortisone. Br Med J. 1954; 2(4903):1504-7. PMC: 2080154. DOI: 10.1136/bmj.2.4903.1504. View

2.
BIRCHFIELD R, Shaw C . POSTURAL HYPOTENSION IN THE GUILLAIN-BARR'E SYNDROME. Arch Neurol. 1964; 10:149-57. DOI: 10.1001/archneur.1964.00460140035006. View

3.
Singh N, Jaiswal A, Misra S, Srivastava P . Assessment of autonomic dysfunction in Guillain-Barré syndrome and its prognostic implications. Acta Neurol Scand. 1987; 75(2):101-5. DOI: 10.1111/j.1600-0404.1987.tb07902.x. View

4.
Raphael J, Masson C, Morice V, Brunel D, Gajdos P, Barois A . [The Landry-Guillain-Barré syndrome. Study of prognostic factors in 223 cases]. Rev Neurol (Paris). 1986; 142(6-7):613-24. View

5.
Davies A, Dingle H . Observations on cardiovascular and neuroendocrine disturbance in the Guillain-Barré syndrome. J Neurol Neurosurg Psychiatry. 1972; 35(2):176-9. PMC: 494032. DOI: 10.1136/jnnp.35.2.176. View