[A case of post-hepatitic Guillain-Barré-Strohl syndrome with extension to all pairs of cranial nerves and late papilledema. Review of recent literature (author's transl)].
The authors report the case of a 17 year-old female patient who presented acute ascending polyneuritis of the Landry-Guillain-Barré type extending to all cranial nerve pairs during the abatement of hepatitis of unspecified etiology. The patient remained in a state of coma vigil for five days prior to gradual but full recovery over a six-month period. The patient was given respiratory assistance for 55 days, together with corticosteroid therapy and above all plasmapheresis. After five weeks of treatment a transient late papilledema was noted for about six weeks. The authors discuss the diagnostic criteria of the Guillain-Barré-Strohl syndrome, its etiology, the possibility of central nerve involvement and late papilledema. Treatment with corticosteroids and plasmapheresis is also discussed.
D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D003389:Cranial Nerve Diseases / Q000209:etiology; D005260:Female; D006525:Hepatitis, Viral, Human / Q000150:complications*; D006801:Humans; D010211:Papilledema / Q000209:etiology*; D010956:Plasmapheresis; D011129:Polyradiculoneuropathy / Q000150:complications / Q000209:etiology* / Q000628:therapy
D000305:Adrenal Cortex Hormones
A propos d'un cas de syndrome de Guillain-Barré-Strohl posthépatitique avec extension à toutes les paires crâniennes et oedème papillaire tardif. Revue de la littérature récente.