Annals of Clinical Neurophysiology

The Korean Society of Clinical Neurophysiology (대한임상신경생리학회)
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A case of Guillain-Barr$\acute{e}$ Syndrome Complicated with Reversible Cardiomyopathy

길랑-바레 증후군에 합병된 가역적 심근병증 1예

  • Kim, Sung-Hyouk (Department of Neurology, Gachon University Gil Hospital, Gachon University of Medicine and Incheon) ;
  • Kim, Su-Hyun (Department of Neurology, Gachon University Gil Hospital, Gachon University of Medicine and Incheon) ;
  • Lee, Yeong-Bae (Department of Neurology, Gachon University Gil Hospital, Gachon University of Medicine and Incheon)
  • 김성혁 (가천의과학대학교 길병원 신경과) ;
  • 김수현 (가천의과학대학교 길병원 신경과) ;
  • 이영배 (가천의과학대학교 길병원 신경과)
  • Received : 2010.04.20
  • Accepted : 2010.09.15
  • Published : 2010.12.31
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Abstract

A 73-year-old man with progressive quadriparesis was diagnosed as Guillain-Barr$\acute{e}$ syndrome. On the 6th hospital day, the patient complained of sudden chest discomfort. The blood test and echocardiography suggested myocardial injury, and acute myocardial infarction was considered. However, coronary angiography displayed no vascular lesion, and the electrocardiography and echocardiogram showed marked improvement 14 days later. We concluded the patient had a reversible cardiomyopathy which is a rare complication of Guillain-Barr$\acute{e}$ syndrome.

Keywords

References

  1. Iga K, Himura Y, Izumi C, Miyamoto T, Kijima K, Gen H, et al. Reversible left ventricular dysfunction associated with Guillain-Barre syndrome-an expression of catecholamine cardiotoxicity? Jpn Circ J 1995;59:236-240. https://doi.org/10.1253/jcj.59.236
  2. Hiraga A, Nagumo K, Suzuki K, Sakakibara Y, Kojima S. A patient with Guillain-Barre syndrome and recurrent episodes of ST elevation and left ventricular hypokinesis in the anterior wall. No To Shinkei 2003;55:517-520.
  3. Finkelstein JS, Melek BH. Guillain-Barre syndrome as a cause of reversible cardiomyopathy. Tex Heart Inst J 2006;33:57-59.
  4. Bernstein R, Mayer SA, Magnano A. Neurogenic stunned myocardium in Guillain-Barre syndrome. Neurology 2000;54:759-762. https://doi.org/10.1212/WNL.54.3.759
  5. Mayer SA, Lin J, Homma S, Solomon RA, Lennihan L, Sherman D, et al. Myocardial injury and left ventricular performance after subarachnoid hemorrhage. Stroke 1999;30:780-786. https://doi.org/10.1161/01.STR.30.4.780
  6. Fagius J, Wallin BG. Microneurographic evidence of excessive sympathetic outflow in the Guillain-Barre syndrome. Brain 1983;106:589-600. https://doi.org/10.1093/brain/106.3.589
  7. Zochodne DW. Autonomic involvement in Guillain-Barre syndrome: a review. Muscle Nerve 1994;17:1145-1155. https://doi.org/10.1002/mus.880171004
  8. Pilati CF, Clark RS, Gilloteaux J, Bosso FJ, Holcomb P, Maron MB. Excessive sympathetic nervous system activity decreases myocardial contractility. Proc Soc Exp Biol Med 1990;193:225-231. https://doi.org/10.3181/00379727-193-43030
  9. Ahmad J, Kham AS, Siddiqui MA. Estimation of plasma and urinary catecholamines in Guillain-Barre syndrome. Jpn J Med 1985;24:24-29. https://doi.org/10.2169/internalmedicine1962.24.24
  10. Martins RP, Barbarot N, Coquerel N, Baruteau AE, Kolev I, Verin M. Takotsubo cardiomyopathy associated with Guillain-Barre syndrome: a differential diagnosis from dysautonomia not to be missed. J Neurol Sci 2010;291:100-102. https://doi.org/10.1016/j.jns.2010.01.005