Persistent Autonomic Dysfunction in Guillain-Barre Syndrome: A case report.
- Author:
Sang Jee LEE
1
;
Eun Suk CHOI
;
Sung Hee JUNG
;
Ye Rim CHO
;
Zee A HAN
;
In Hee YU
Author Information
1. Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Korea. hi271@naver.com
- Publication Type:Case Report
- Keywords:
Autonomic dysfunction;
Orthostatic hypotension;
Guillain-Barre syndrome
- MeSH:
Fludrocortisone;
Guillain-Barre Syndrome;
Humans;
Hypotension, Orthostatic;
Midodrine;
Muscle Strength;
Young Adult
- From:Journal of the Korean Academy of Rehabilitation Medicine
2008;32(5):586-590
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Autonomic dysfunction is a common manifestation in Guillain-Barre syndrome (GBS), but it rarely persists. We report a case involving a 22-year-old man who presented with glove-and-stocking type sensory loss, symmetric weakness, urinary distension, orthostatic hypotension, decreased perspiration, and the syndrome of inappropriate secretion of antidiuretic hormone. He was subsequently diagnosed as having GBS with autonomic failure that persisted for more than six months, despite regaining muscle strength. Orthostatic hypotension progressively improved after rehabilitation and administration of midodrine and fludrocortisone. Extensive evaluation and management should be performed in patients with GBS because severe autonomic dysfunction is a major source of disability.
