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Posterior reversible encephalopathy syndrome as the initial manifestation of Guillain‐Barré syndrome: case report and review of the literature
Author(s) -
Rigamonti Andrea,
Basso Francesco,
Scaccabarozzi Chiara,
Lauria Giuseppe
Publication year - 2012
Publication title -
journal of the peripheral nervous system
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1
H-Index - 67
eISSN - 1529-8027
pISSN - 1085-9489
DOI - 10.1111/j.1529-8027.2012.00416.x
Subject(s) - dysautonomia , medicine , plasmapheresis , guillain barre syndrome , paresis , posterior reversible encephalopathy syndrome , pediatrics , encephalopathy , magnetic resonance imaging , surgery , pathology , psychiatry , disease , antibody , immunology , radiology
We report a 63‐year‐old female patient with Guillain‐Barré syndrome revealed after posterior reversible encephalopathy syndrome. The onset was characterized by hypertension, headache, and cortical blindness, followed a few days later by progressive limb and facial paresis, dysautonomia, and respiratory failure. Treatment with plasmapheresis led to a rapid improvement of the clinical picture and the disappearance of magnetic resonance abnormalities. This report reviews the literature on this unusual association and discusses possible pathophysiological mechanisms.