Published in:
Open Access
01-12-2021 | Guillain-Barré Syndrome | Case Report
Guillain-Barre syndrome after coronary artery bypass graft surgery: a case report and literature review
Authors:
Sajid Hameed, Lubna Ashraf Jafri, Dureshahwar Kanwar
Published in:
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
|
Issue 1/2021
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Abstract
Background
Guillain-Barre syndrome (GBS) is an acute polyradiculoneuropathy, often preceded by an infection. Rarely, it is preceded by a surgical procedure. Most of the postsurgical GBS cases are reported with the neurosurgical, gastrointestinal, orthopedic, and cardiac procedures. GBS is rarely reported after a coronary artery bypass grafting (CABG). To date, only 12 cases have been reported in the literature. Our case is 13th in number and the first case from Pakistan.
Case presentation
We report a case of a 54-year-old man presented with acute flaccid quadriparesis and areflexia after a CABG procedure. He was subsequently diagnosed with an acute inflammatory demyelinating polyneuropathy (AIDP) variant of GBS and underwent five sessions of plasmapheresis. His weakness improved and could ambulate unassisted on follow-up visits.
Conclusion
GBS is a potentially treatable condition if timely diagnosed and managed. It should be considered in every patient presenting with an acute-onset weakness after surgery.