{"title":"产后即刻出现的格林-巴利综合征:产科医生的两难选择","authors":"S. Thimmappa, KB Suma","doi":"10.30699/jogcr.8.6.641","DOIUrl":null,"url":null,"abstract":"10.30699/jogcr.8.6.641 Guillain-Barré syndrome is a rare neurological complication that presents in pregnancy and postpartum. We present a case of a 23-year-old Gravida 2 Para 1 Living 1 with 39 weeks of gestation and previous lower (uterine) segment cesarean section (LSCS) who presented with nonspecific symptoms in the antenatal period and progressed to develop symmetrical progressive ascending paralysis in the postpartum period with no antecedent history of infection. The patient was managed by a multidisciplinary team and treated with plasma exchange, with complete recovery at follow-up. We are reporting this case because of the rarity of Guillain-Barre syndrome in pregnancy and postpartum and the nonspecific initial presentation with an unexpected diagnosis in the immediate postpartum.","PeriodicalId":36115,"journal":{"name":"Journal of Obstetrics, Gynecology and Cancer Research","volume":"53 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Guillain-Barré Syndrome in Immediate Postpartum: An Obstetrician's Dilemma\",\"authors\":\"S. Thimmappa, KB Suma\",\"doi\":\"10.30699/jogcr.8.6.641\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"10.30699/jogcr.8.6.641 Guillain-Barré syndrome is a rare neurological complication that presents in pregnancy and postpartum. We present a case of a 23-year-old Gravida 2 Para 1 Living 1 with 39 weeks of gestation and previous lower (uterine) segment cesarean section (LSCS) who presented with nonspecific symptoms in the antenatal period and progressed to develop symmetrical progressive ascending paralysis in the postpartum period with no antecedent history of infection. The patient was managed by a multidisciplinary team and treated with plasma exchange, with complete recovery at follow-up. We are reporting this case because of the rarity of Guillain-Barre syndrome in pregnancy and postpartum and the nonspecific initial presentation with an unexpected diagnosis in the immediate postpartum.\",\"PeriodicalId\":36115,\"journal\":{\"name\":\"Journal of Obstetrics, Gynecology and Cancer Research\",\"volume\":\"53 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-11-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Obstetrics, Gynecology and Cancer Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.30699/jogcr.8.6.641\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Obstetrics, Gynecology and Cancer Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.30699/jogcr.8.6.641","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
摘要
10.30699/jogcr.8.6.641 吉兰-巴雷综合征是一种罕见的神经系统并发症,好发于妊娠期和产后。我们报告了一例 23 岁的 Gravida 2 Para 1 Living 1 孕妇,妊娠 39 周,曾行下段(子宫)剖宫产术(LSCS),产前出现非特异性症状,产后出现对称性进行性升麻,无感染病史。患者接受了多学科团队的治疗,并进行了血浆置换,随访时已完全康复。我们之所以报告这个病例,是因为格林-巴利综合征在妊娠期和产后很少见,而且患者最初表现为非特异性,但在产后不久就被意外确诊。
Guillain-Barré Syndrome in Immediate Postpartum: An Obstetrician's Dilemma
10.30699/jogcr.8.6.641 Guillain-Barré syndrome is a rare neurological complication that presents in pregnancy and postpartum. We present a case of a 23-year-old Gravida 2 Para 1 Living 1 with 39 weeks of gestation and previous lower (uterine) segment cesarean section (LSCS) who presented with nonspecific symptoms in the antenatal period and progressed to develop symmetrical progressive ascending paralysis in the postpartum period with no antecedent history of infection. The patient was managed by a multidisciplinary team and treated with plasma exchange, with complete recovery at follow-up. We are reporting this case because of the rarity of Guillain-Barre syndrome in pregnancy and postpartum and the nonspecific initial presentation with an unexpected diagnosis in the immediate postpartum.