Pregnancy, anaesthesia and Guillain Barré syndrome

Brooks, Helen; Christian, A. S.; May, A.E.

doi:10.1046/j.1365-2044.2000.01367.x

Cited by 75 publications

(48 citation statements)

References 17 publications

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“…The management of GBS in pregnancy is similar to that in the non-pregnant population 7 and includes intravenous (i.v.) immunoglobulins and plasmapheresis.…”

Section: Discussionmentioning

confidence: 99%

Weakness in pregnancy – expect the unexpected

Furara

Maw²,

Khan

et al. 2008

Obstet Med

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Guillain-Barré syndrome (GBS) is rare in pregnancy with an incidence estimated to be between 1.2 and 1.9 cases per 100,000 people annually, and it is generally accepted that it carries a high maternal risk. Delayed diagnosis is common because the initial non-specific symptoms may mimic changes in pregnancy. GBS should be considered in any pregnant patient complaining of muscle weakness, general malaise, tingling of the fingers and respiratory discomfort. This case aims to highlight the importance of early diagnosis, allowing prompt initiation of the immunomodulatory treatments which have been shown to improve outcome alongside multidisciplinary care.

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“…The management of GBS in pregnancy is similar to that in the non-pregnant population 7 and includes intravenous (i.v.) immunoglobulins and plasmapheresis.…”

Section: Discussionmentioning

confidence: 99%

Weakness in pregnancy – expect the unexpected

Furara

Maw²,

Khan

et al. 2008

Obstet Med

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“…Feldman reported that a parturient with Guillain-Barré syndrome had a cardiac arrest due to hyperkalemia that occurred shortly after succinylcholine administration for general anaesthesia 6 . Non-depolarizing muscle relaxants should be administered with caution, because they may result in prolonged neuromuscular block and postoperative mechanical or assisted ventilation 7 .…”

Section: Discussionmentioning

confidence: 99%

Emergency Cesarean Delivery in a Guillain- Barre Syndrome Patient

Rahman

Hossain

Mondal

et al. 2016

j Bangladesh Soc Anaesthesiologists

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Guillain-Barré syndrome is an acute inflammatory demyelinating polyradiculopathy characterized by progressive motor weaknes, areflexia, and ascending paralysis. Guillain-Barré syndrome is extremely rare in pregnant patients, and there are no established guidelines for delivery or safest anesthetic methods. We report an emergency Cesarean delivery in the case of a 25-year old woman who was diagnosed as Guillain-Barré syndrome at her 26 weeks gestation. Tracheostomy was performed as prolonged ventilatory support was required in the intensive care unit. The respiratory difficulty was exacerbated by the growth of the fetus, necessitating emergency Cesarean delivery. The delivery was successfully performed under general anesthesia, and the patient recovered without neurological sequelae.Journal of Bangladesh Society of Anaesthesiologists 2014; 27(1): 39-42

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“…También existen varios casos de resultados favorables después de la anestesia regional 8,18---20 y no hay evidencias de que la anestesia regional pueda desencadenar la enfermedad 16 . Por tanto, el SGB no debe ser considerado una contraindicación absoluta para la realización de anestesias en el neuroeje 8,9,18 . Existe un aumento de la sensibilidad a los anestésicos locales, por tanto la dosis debe ser reducida y siempre que se pueda fraccionada, con el fin de evitar los bloqueos extensos 15 .…”

Section: Discussionunclassified