Abstract

QUINTERO PAREDES, Pedro Pablo. Guillain Barre syndrome and pregnancy. Rev Ciencias Médicas [online]. 2015, vol.19, n.5, pp.965-972. ISSN 1561-3194.

Introduction: Guillain-Barre syndrome is an acute motor polyneuropathy of the immune mechanism, characterized by a rapidly progressive loss of strength, it is rare in pregnancy. Case report: a 37 year- old, second pregnancy, 26 weeks of gestation woman was referred by the basic health team and admitted in the Intensive Care Unit. She was diagnosed with weak state in muscle tone and loss of strength in the four limbs, progressively appearing; markedly in both lower limbs for a week, speech difficulties, dropping of eyelids and high blood pressure. The diagnosis of Guillain-Barre syndrome was confirmed. The nerve conduction study shows axon-myelin polyneuropathy with sensory-motor-axonal predominance, moderate to severe intensity, which affects all of the peripheral nerves explored. On the third day of admission in the ICU she presented decompensation of blood pressure and diarrhea, interpreting these symptoms as pseudomembranous colitis. She underwent physiotherapy, rehabilitation and specific drug treatment. She was discharged from the hospital at 28.6 weeks of gestation with satisfactory evolution. A cesarean section was performed at 39.5 weeks of gestation. The newborn had good weight and Apgar. Conclusions: Guillain-Barre syndrome is an atypical presentation during pregnancy; few cases are reported in the world medical literature. Its management is not modified because of this rare association, which is centered on avoiding complications, reaching a normal delivery and good health of the newborn, as well as the mother recovery.

Keywords : Guillain-Barre syndrome; Pregnancy.

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