Fulminant Guillain–Barré Syndrome Post Hemorrhagic Stroke: Two Case Reports

Guillain–Barré syndrome (GBS) is an acute, immune-mediated inflammatory peripheral polyneuropathy characterized by ascending paralysis. Most GBS cases follow gastrointestinal or chest infections. Some patients have been reported either following or concomitant with head trauma, neurosurgical procedu...

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Main Authors: Sameeh Abdulmana, Naif Al-Zahrani, Yahya Sharahely, Shahid Bashir, Talal M. Al-Harbi
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Neurology International
Subjects:
Online Access:https://www.mdpi.com/2035-8377/13/2/19
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author Sameeh Abdulmana
Naif Al-Zahrani
Yahya Sharahely
Shahid Bashir
Talal M. Al-Harbi
author_facet Sameeh Abdulmana
Naif Al-Zahrani
Yahya Sharahely
Shahid Bashir
Talal M. Al-Harbi
author_sort Sameeh Abdulmana
collection DOAJ
description Guillain–Barré syndrome (GBS) is an acute, immune-mediated inflammatory peripheral polyneuropathy characterized by ascending paralysis. Most GBS cases follow gastrointestinal or chest infections. Some patients have been reported either following or concomitant with head trauma, neurosurgical procedures, and rarely hemorrhagic stroke. The exact pathogenesis is not entirely understood. However, blood–brain barrier damage may play an essential role in triggering the autoimmune activation that leads to post-stroke GBS. Here, we present two cases of fulminant GBS following hemorrhagic stroke to remind clinicians to be aware of this rare treatable complication if a stroke patient develops unexplainable flaccid paralysis with or without respiratory distress.
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spelling doaj.art-a597304a98b34aa594f829f85b3875d22023-11-21T18:29:28ZengMDPI AGNeurology International2035-83772021-05-0113219019410.3390/neurolint13020019Fulminant Guillain–Barré Syndrome Post Hemorrhagic Stroke: Two Case ReportsSameeh Abdulmana0Naif Al-Zahrani1Yahya Sharahely2Shahid Bashir3Talal M. Al-Harbi4Neuroscience Centre, Neurology Department, King Fahad Specialist Hospital-Dammam, Dammam 31444, Saudi ArabiaNeuroscience Centre, Neurology Department, King Fahad Specialist Hospital-Dammam, Dammam 31444, Saudi ArabiaNeurology Division, Medical Department, Dammam Medical Complex, Dammam 31444, Saudi ArabiaNeuroscience Centre, Neurology Department, King Fahad Specialist Hospital-Dammam, Dammam 31444, Saudi ArabiaNeuroscience Centre, Neurology Department, King Fahad Specialist Hospital-Dammam, Dammam 31444, Saudi ArabiaGuillain–Barré syndrome (GBS) is an acute, immune-mediated inflammatory peripheral polyneuropathy characterized by ascending paralysis. Most GBS cases follow gastrointestinal or chest infections. Some patients have been reported either following or concomitant with head trauma, neurosurgical procedures, and rarely hemorrhagic stroke. The exact pathogenesis is not entirely understood. However, blood–brain barrier damage may play an essential role in triggering the autoimmune activation that leads to post-stroke GBS. Here, we present two cases of fulminant GBS following hemorrhagic stroke to remind clinicians to be aware of this rare treatable complication if a stroke patient develops unexplainable flaccid paralysis with or without respiratory distress.https://www.mdpi.com/2035-8377/13/2/19Guillain–Barré syndromeGuillain–Barré following strokeintracranial hemorrhagehemorrhagic stroke complicated by radiculopathy
spellingShingle Sameeh Abdulmana
Naif Al-Zahrani
Yahya Sharahely
Shahid Bashir
Talal M. Al-Harbi
Fulminant Guillain–Barré Syndrome Post Hemorrhagic Stroke: Two Case Reports
Neurology International
Guillain–Barré syndrome
Guillain–Barré following stroke
intracranial hemorrhage
hemorrhagic stroke complicated by radiculopathy
title Fulminant Guillain–Barré Syndrome Post Hemorrhagic Stroke: Two Case Reports
title_full Fulminant Guillain–Barré Syndrome Post Hemorrhagic Stroke: Two Case Reports
title_fullStr Fulminant Guillain–Barré Syndrome Post Hemorrhagic Stroke: Two Case Reports
title_full_unstemmed Fulminant Guillain–Barré Syndrome Post Hemorrhagic Stroke: Two Case Reports
title_short Fulminant Guillain–Barré Syndrome Post Hemorrhagic Stroke: Two Case Reports
title_sort fulminant guillain barre syndrome post hemorrhagic stroke two case reports
topic Guillain–Barré syndrome
Guillain–Barré following stroke
intracranial hemorrhage
hemorrhagic stroke complicated by radiculopathy
url https://www.mdpi.com/2035-8377/13/2/19
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AT yahyasharahely fulminantguillainbarresyndromeposthemorrhagicstroketwocasereports
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