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KMID : 1130620070030020105
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Journal of Clinical Neurology
2007 Volume.3 No. 2 p.105 ~ p.107
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Fulminant Guillain-Barre Syndrome Mimicking Cerebral Death Following Acute Viral Hepatitis A
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Kang Bong-Hui
Kim Kwang-Kuk
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Abstract
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A 32-year-old man was transferred to an intensive care unit due to respiratory difficulties with a 4-day history of progressive areflexic quadriparesis following acute hepatitis A. A nerve-conduction study revealed inexcitability of most nerves. The cerebrospinal fluid showed albuminocytologic dissociation, suggesting Guillain-Barre syndrome (GBS). The patient appeared brain dead on day 4, showing absent brainstem reflexes, respiratory failure, and fully dilated and fixed pupils. This case is an example of how GBS can evolve and simulate a brain-dead state from fulminant deafferentation following acute hepatitis A
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KEYWORD
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Fulminant Guillain-Barre Syndrome, Acute Hepatitis A, Brain death
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