A case of central nervous system vasculitis related to an episode of Guillain-Barrè syndrome.
The authors report their knowledge about an uncommon case of isolated vasculitis, restricted to the left sylvian artery during an auto-immune Guillain-Barrè syndrome (GBS), sustained by cytomegalovirus (CMV). An acute cardiopulmonary failure requiring a ventilator and vasopressor support manifested, notwithstanding plasma exchanging and immune-modulating therapy. An IgM-enriched formula administration coincided with a rapid amelioration of GBS and vasculitis to a complete recovery the next month after her discharge to a rehabilitation centre.
Sinardi
D
D
University Hospital of Messina, Messina, Italy. dsinardi@tiscalinet.it
Spada
A
A
Marino
A
A
Mondello
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E
D000276:Adjuvants, Immunologic / Q000627:therapeutic use; D000328:Adult; D002533:Cerebral Angiography; D003586:Cytomegalovirus Infections / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005260:Female; D020275:Guillain-Barre Syndrome / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D007075:Immunoglobulin M / Q000627:therapeutic use; D018810:Magnetic Resonance Angiography; D010951:Plasma Exchange; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000821:virology; D012769:Shock / Q000821:virology; D016896:Treatment Outcome; D020293:Vasculitis, Central Nervous System / Q000175:diagnosis / Q000628:therapy / Q000821:virology*
D000276:Adjuvants, Immunologic; D007075:Immunoglobulin M