Jones Timothy, Umaskanth Neelan, De Boisanger James, Penn Henry
Northwick Park Hospital, London North West University Healthcare NHS Trust, Harrow, London, UK
Northwick Park Hospital, London North West University Healthcare NHS Trust, Harrow, London, UK.
BMJ Case Rep. 2020 Feb 13;13(2):e233591. doi: 10.1136/bcr-2019-233591.
A 41-year-old woman was admitted with progressive paraesthesia and weakness and was diagnosed with Guillain-Barré syndrome. Following an initial period of recovery with intravenous immunoglobulin treatment, she developed acute chest pain associated with electrocardiographic changes. Investigations excluded acute coronary syndrome and instead confirmed a diagnosis of takotsubo cardiomyopathy, which was treated medically. The patient made an excellent neurological and cardiac recovery. Here we discuss the rarely described association between these two conditions and suggest that patients admitted with Guillain-Barré syndrome may benefit from routine screening with echocardiography.
一名41岁女性因进行性感觉异常和肌无力入院，被诊断为吉兰 - 巴雷综合征。在接受静脉注射免疫球蛋白治疗的初始恢复期后，她出现了与心电图改变相关的急性胸痛。检查排除了急性冠状动脉综合征，确诊为应激性心肌病，并接受了药物治疗。该患者在神经和心脏方面均恢复良好。在此，我们讨论这两种疾病之间鲜有描述的关联，并建议吉兰 - 巴雷综合征患者可能受益于常规超声心动图筛查。
