Karla Patricia Ramos, Mariano Chávez, José Gamero, Kevin Hernández, Humberto Fuentes, Noel Díaz Robles
{"title":"与冠状动脉搭桥手术相关的格林-巴利综合征。病例报告","authors":"Karla Patricia Ramos, Mariano Chávez, José Gamero, Kevin Hernández, Humberto Fuentes, Noel Díaz Robles","doi":"10.1016/j.acci.2024.06.001","DOIUrl":null,"url":null,"abstract":"<div><div>We describe the case of a 65-year-old patient with a history of acute myocardial infarction who was admitted electively for coronary revascularization surgery for multivessel disease, which was performed without immediate complications. Ten days after the procedure, she presented paresis of all four extremities that progressed until she required ventilatory support; An approach to muscle weakness syndrome is performed, within this, MRI of the thoracolumbar spine which rules out a spinal cause, for which human immunoglobulin is started, achieving recovery of muscle strength, elective extubation and favorable evolution; The diagnosis is subsequently confirmed by nerve conduction velocity of four extremities. Guillain-Barré syndrome associated with cardiac surgery is rare and few cases have been reported worldwide, the following case would be the fourteenth that can be documented and the first case reported in El Salvador.</div></div>","PeriodicalId":100016,"journal":{"name":"Acta Colombiana de Cuidado Intensivo","volume":"25 1","pages":"Pages 178-181"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Síndrome de Guillain-Barré asociado a cirugía de revascularización coronaria. Reporte de caso\",\"authors\":\"Karla Patricia Ramos, Mariano Chávez, José Gamero, Kevin Hernández, Humberto Fuentes, Noel Díaz Robles\",\"doi\":\"10.1016/j.acci.2024.06.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>We describe the case of a 65-year-old patient with a history of acute myocardial infarction who was admitted electively for coronary revascularization surgery for multivessel disease, which was performed without immediate complications. Ten days after the procedure, she presented paresis of all four extremities that progressed until she required ventilatory support; An approach to muscle weakness syndrome is performed, within this, MRI of the thoracolumbar spine which rules out a spinal cause, for which human immunoglobulin is started, achieving recovery of muscle strength, elective extubation and favorable evolution; The diagnosis is subsequently confirmed by nerve conduction velocity of four extremities. Guillain-Barré syndrome associated with cardiac surgery is rare and few cases have been reported worldwide, the following case would be the fourteenth that can be documented and the first case reported in El Salvador.</div></div>\",\"PeriodicalId\":100016,\"journal\":{\"name\":\"Acta Colombiana de Cuidado Intensivo\",\"volume\":\"25 1\",\"pages\":\"Pages 178-181\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Acta Colombiana de Cuidado Intensivo\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0122726224000557\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta Colombiana de Cuidado Intensivo","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0122726224000557","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Síndrome de Guillain-Barré asociado a cirugía de revascularización coronaria. Reporte de caso
We describe the case of a 65-year-old patient with a history of acute myocardial infarction who was admitted electively for coronary revascularization surgery for multivessel disease, which was performed without immediate complications. Ten days after the procedure, she presented paresis of all four extremities that progressed until she required ventilatory support; An approach to muscle weakness syndrome is performed, within this, MRI of the thoracolumbar spine which rules out a spinal cause, for which human immunoglobulin is started, achieving recovery of muscle strength, elective extubation and favorable evolution; The diagnosis is subsequently confirmed by nerve conduction velocity of four extremities. Guillain-Barré syndrome associated with cardiac surgery is rare and few cases have been reported worldwide, the following case would be the fourteenth that can be documented and the first case reported in El Salvador.