Renjen Pushpendra Nath, Khanna Laxmi, Ahmed Kamal
J Assoc Physicians India. 2014 Aug;62(8):734-6.
The clinical manifestations of Guillain Barre syndrome are usually confined to the nervous system, however in 20% cases there can be cardiovascular involvement in patients with dysautonomia contributing to the mortality. The cardiovascular manifestations of Guillain Barre syndrome are electrocardiographic changes, cardiac enzyme abnormalities and reversible left ventricular dysfunction. The term neurogenic stunned myocardium has been used to summarise these cardiovascular abnormalities in the setting of severe central nervous system injury, in the absence of coronary artery disease. Our case report of reversible cardiomyopathy in Guillain Barre syndrome documents the occurrence of cardiovascular changes in a case of Guillain Barre syndrome with dysautonomia which were reversible with appropriate treatment.
格林-巴利综合征的临床表现通常局限于神经系统，但在20%的病例中，自主神经功能障碍患者可能会出现心血管受累，这会导致死亡。格林-巴利综合征的心血管表现包括心电图改变、心肌酶异常和可逆性左心室功能障碍。“神经源性 stunned 心肌”一词已被用于概括在严重中枢神经系统损伤且无冠状动脉疾病的情况下出现的这些心血管异常。我们关于格林-巴利综合征中可逆性心肌病的病例报告记录了一例伴有自主神经功能障碍的格林-巴利综合征患者出现的心血管变化，这些变化经适当治疗后是可逆的。
