A Case of Successful Management of GuillainBarre Syndrome in Pregnancy

Authors

  • Debasis Pradhan Junior Consultant, Columbia Asia hospital, Hebbal, Bengaluru, India.
  • Samarjit Dey Department of Anesthesiology & Critical Care, NEIGRIHMS, Shillong, India.
  • Prithwis Bhattacharyyaa Department of Anesthesiology & Critical Care, NEIGRIHMS, Shillong, India.

DOI:

https://doi.org/10.31729/jnma.2776

Keywords:

pregnancy; thromboprophylaxis; tracheostomy; ventilator associated pneumonia.

Abstract

Guillain–Barre´ syndrome complicating pregnancy is a rare event which carries a high maternal risk. We presented a case of 23 years old pregnant lady diagnosed with GBS in third trimester who deteriorated after termination of delivery of the new born. Despite the availability of intravenous immunoglobulin and plasmapheresis and complications like ventilator associated pneumonia, tracheostomy, autonomic instability, patient was successfully managed due to a meticulous multidisciplinary involvement in our intensive care unit.

Keywords: pregnancy; thromboprophylaxis; tracheostomy; ventilator associated pneumonia.

References

Campanharo FF, Santana EF, Sarmento SG, Mattar R, Sun
SY, Moron AF. Guillain-Barré Syndrome after H1N1 Shot in
Pregnancy: Maternal and Fetal Care in the Third Trimester—
Case Report. Case Reports in Obstetrics and Gynecology.
2012 Nov 14;2012. doi:10.1155/2012/323625.
2. Asbury AK, Cornblath DR. Assessment of current diagnostic
criteria for Guillain–Barre´ syndrome. Ann Neurol. 1990;27
Suppl:S21-4.
3. Chan LYS, Tsui MHY, Leung TN. Guillain-Barré syndrome
in pregnancy. Acta Obstetriciaet Gynecologica Scandinavica.
2004;83(4):319–25.
4. Jacobs BC, Rothbarth PH, van der Meche FG, Herbink P,
Schmitz PI, de Klerk MA et al. The spectrum of antecedent
infections in GuillainBarre´ syndrome: a case-control study.
Neurology. 1998 Oct; 51:1110–5.
5. Gaber TA, Kirker SG, Jenner JR. Current practice of
prophylactic anticoagulation in Guillain–Barre´ syndrome.
ClinRehabil. 2002 Mar;16(2):190-3.
6. Ropper AH. The Guillain–Barre´ syndrome. N Engl J
Med. 1992 Apr 23;326(17):1130-6.

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Published

2015-06-30

How to Cite

Pradhan, D., Dey, S., & Bhattacharyyaa, P. (2015). A Case of Successful Management of GuillainBarre Syndrome in Pregnancy. Journal of Nepal Medical Association, 53(198), 134–136. https://doi.org/10.31729/jnma.2776

Issue

Section

Case Reports