Recurrent Guillain-Barré Syndrome: Case Report

• Autor(a) principal: Pinto Silva, Maria João; Serviço de MFR, Hospital da Prelada, Porto, Portugal
• Data de Publicação: 2016
• Outros Autores: Rodrigues de Carvalho, João; Serviço de MFR, Hospital da Prelada, Porto, Portugal, Carvalho, José; Serviço de MFR, Hospital da Prelada, Porto, Portugal, Nunes, Renato; Centro de Reabilitação do Norte, Vila Nova de Gaia, Portugal, Borges, Gonçalo; Serviço de MFR, Hospital da Prelada, Porto, Portugal, Tamegão, Edgar; Serviço de MFR, Hospital da Prelada, Porto, Portugal, Almeida, Rúben; Centro de Reabilitação do Norte, Vila Nova de Gaia, Portugal
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.25759/spmfr.202
• topic: Guillain–Barré Syndrome/rehabilitation; Síndrome de Guillain-Barré/reabilitação

Introduction: Guillain–Barré syndrome is a frequent acute or subacute polyneuropathy, resulting from an aberrant immune response directed to peripheral nerves, characterized by demyelinating and/or axonal neuropathy. Recurrence is rare and its existence is not consensual.Case presentation: Male, 37 years old, history of severe Guillain–Barré syndrome in 2002, classified as axonal form. In 2012 he presented with acute and progressive motor weakness, involving the cranial nerves and respiratory distress. The electromyography results showed demyelinating motor and sensory polyneuropathy, with axonal component. He started intravenous immunoglobulin treatment with improvement of the neurological disabilities. He was transferred to our Hospital where he completed a broad rehabilitation program. He presented significant functional improvement.Discussion: based on the clinical presentation, electromyography and laboratory results, we considered it a recurrent case of Guillain–Barré syndrome.