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吉兰-巴雷综合征酷似脑死亡:一例报告

Guillain Barré Syndrome Mimicking Brain Death: A Case Report.

作者信息

James Lijo, Mohan Aiswarya, Mol Thankam Jithu, George Jeeva

机构信息

Neurology, Caritas Hospital, Kottayam, IND.

Research and Development Cell, Caritas Hospital and Institute of Health Sciences, Kottayam, IND.

出版信息

Cureus. 2024 Dec 24;16(12):e76297. doi: 10.7759/cureus.76297. eCollection 2024 Dec.

Abstract

Here, we present a case of Guillain-Barré syndrome (GBS) that mimicked brain death. A 66-year-old lady with a medical history of breast cancer (now receiving hormone therapy), hypertension, and hypothyroidism, presented to the emergency department. The patient was admitted to the neuro ICU with absent brainstem and spinal cord responses, concerning for possible brain death. Further evaluation, however, identified the uncommon GBS with respiratory failure. This case emphasizes the need to recognize this severe manifestation of GBS since misinterpreting this as brain death might result in the discontinuation of ventilatory support.

摘要

在此,我们报告一例疑似脑死亡的吉兰-巴雷综合征(GBS)病例。一名66岁女性,有乳腺癌病史(现接受激素治疗)、高血压和甲状腺功能减退,就诊于急诊科。该患者因脑干和脊髓反应消失被收入神经重症监护病房,怀疑可能为脑死亡。然而,进一步评估发现其患有罕见的伴有呼吸衰竭的GBS。该病例强调了识别GBS这种严重表现的必要性,因为将其误诊为脑死亡可能导致停止通气支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f96/11755197/a901fc928a7f/cureus-0016-00000076297-i01.jpg

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