|
KMID : 0361420080320050586
|
|
Journal of Korean Academy of Rehabilitation Medicine
2008 Volume.32 No. 5 p.586 ~ p.590
|
|
|
Persistent Autonomic Dysfunction in Guillain-Barre Syndrome: A case report
|
|
Lee Sang-Jee
Choi Eun-Seok
Cho Ye-Rim
Han Zee-A
Jung Sung-Hee
Yu In-Hee
|
|
|
Abstract
|
|
|
|
Autonomic dysfunction is a common manifestation in Guillain-Barre syndrome (GBS), but it rarely persists. We report a case involving a 22-year-old man who presented with glove-and-stocking type sensory loss, symmetric weakness, urinary distension, orthostatic hypotension, decreased perspiration, and the syndrome of inappropriate secretion of antidiuretic hormone. He was subsequently diagnosed as having GBS with autonomic failure that persisted for more than six months, despite regaining muscle strength. Orthostatic hypotension progressively improved after rehabilitation and administration of midodrine and fludrocortisone. Extensive evaluation and management should be performed in patients with GBS because severe autonomic dysfunction is a major source of disability.
|
|
|
KEYWORD
|
|
|
Autonomic dysfunction, Orthostatic hypotention, Guillain-Barre syndrome
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|