文章基本信息

标题：Guillain-Barré Syndrome Masquerading as Brain Death
其他标题：Guillain-Barré Syndrome Masquerading as Brain Death
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作者：Fatema Ahmed ; Mohammad Omar Faruq ; ASM Areef Ahsan 等
期刊名称：Bangladesh Critical Care Journal
印刷版ISSN：2307-7654
出版年度：2013
卷号：1
期号：1
页码：53-55
DOI：10.3329/bccj.v1i1.14371
语种：English
出版社：Bangladesh Society of Critical Care Medicine
摘要：Brain death is irreversible loss of function of the brain including the brain stem. Many clinical conditions may mimic brain death. This is a case review of a 27 year old Bangladeshi male who complaints heaviness of tongue and slurring of speech and was diagnosed as a case of bulbar palsy and found to develop ascending flaccid paralysis of limbs, subsequently he developed respiratory failure was placed on mechanical ventilator (MV) with GCS -3 and brain stem and all spinal reflexes were absent. The MRI & CSF studies were unremarkble. He was on MV and had no spontaneous breathing. A provisional diagnosis of GBS was made with a dfferential diagnosis of Brain stem death. Patient recieved 5 cycles of plasma pheresis without any clinical change. EEG showed cerebral reactivity on tactile stimulation and external noise stimulation. 31ist day of his illness patient developed involuntary tongue movement with pupils weakly reacting to light. 37th day of his illness he opened his eyes with vocal command. His neurological recovery continued till discharge DOI: http://dx.doi.org/10.3329/bccj.v1i1.14371 Bangladesh Crit Care J March 2013; 1: 53-55
关键词：Critical Care;Guillain-Barré Syndrome