[Sepsis-associated Guillain-Barré syndrome].
This article reports on the case of a multiple trauma patient, who was admitted to the intensive care unit with haemorrhagic shock and severe hypoxaemia. Following posttraumatic septic shock the patient developed quadriplegia 3 weeks after admittance. After having excluded any traumatic and cerebral origins, an analysis of the cerebrospinal fluid was performed and revealed a"dissociation albuminocytologique". This finding in association with limb quadriplegia led to the diagnosis of Guillain-Barré syndrome. Therapy with high-dose i.v. immunoglobulins led to a complete recovery.
Rehberg
S
S
Klinik und Poliklinik für Anästhesiologie und operative Intensivmedizin, Universitätsklinikum Münster, Albert-Schweitzer-Str. 33, 48149 Münster, Deutschland. Sebastian_Rehberg@web.de
Freise
H
H
Young
P
P
Ertmer
C
C
Ellger
B
B
Van Aken
H
H
Westphal
M
M
D000063:Accidents, Traffic; D004569:Electroencephalography; D020275:Guillain-Barre Syndrome / Q000134:cerebrospinal fluid / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D000860:Hypoxia / Q000150:complications; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000628:therapy; D011183:Postoperative Complications / Q000628:therapy; D011782:Quadriplegia / Q000188:drug therapy / Q000209:etiology; D018805:Sepsis / Q000134:cerebrospinal fluid / Q000150:complications*; D012771:Shock, Hemorrhagic / Q000150:complications
D016756:Immunoglobulins, Intravenous