A 30 year old primigravida presented to our emergency department at 20 weeks gestation
with rapid onset distal paraesthesia, generalised weakness and motor difficulty. Two
weeks prior to the onset, she reported having had the influenza vaccination as recommended
in pregnancy. She had no other medical history of note and reported no recent travel.
The patient underwent various investigations including lumbar puncture, MRI brain
and spine, blood tests including electrolytes, thyroid function, autoimmune antibody
screen, HIV, hepatitis and Epstein Barr virus (EBV); all of which were normal. A nerve
conduction study confirmed demyelination of the peripheral nerves. A diagnosis of
Guillain–Barré syndrome was suspected based on the clinical findings.
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References
- Guillain–Barre syndrome in pregnancy: an unusual case.J Fam Med Prim Care. 2013; 2: 90-91
- A rare case of Guillain–Barre syndrome in pregnancy treated with plasma exchange.Asian J Transfus Sci. 2014; 8: 59-60
- Critical care of a pregnant patient with Guillain–Barré syndrome.Indian J Anesth. 2003; 47: 50-52
- Relapsing Guillain–Barre syndrome in pregnancy and postpartum.Ann Indian Acad Neurol. 2014; 17: 352-354
- Gullian–Barre syndrome in pregnancy—a case report and review of the literature.Gynecol Obstet (Sunnyvale). 2016; 6 (2161–0932.10003)
Article info
Publication history
Published online: June 15, 2018
Received:
April 10,
2018
Identification
Copyright
Crown Copyright © 2018 Published by Elsevier B.V. All rights reserved.
