{"title":"产后格林-巴勒综合征康复:多学科管理和功能预后的一例报告。","authors":"Siwan Luo, Bangkui Zhang, Yixuan Huang, Jingwen Yan, Xiaolan Lin, Xue Zhang","doi":"10.2147/IMCRJ.S529582","DOIUrl":null,"url":null,"abstract":"<p><p>Guillain-Barré syndrome (GBS), a serious acute neurological disorder that can occur during pregnancy and the postpartum period, poses significant risks to maternal health. Severe cases may rapidly progress to generalized paralysis or life-threatening complications, underscoring the urgency of early rehabilitation interventions to mitigate acute sequelae. This report details the rehabilitation journey of a 27-year-old female diagnosed with GBS following cesarean delivery at 36 weeks of gestation. Initially presenting with limb paralysis, respiratory failure, and dysphagia, she received immunoglobulin therapy and mechanical ventilation; however, persistent deficits necessitated transfer to specialized rehabilitation. A multidisciplinary program integrated respiratory training (sputum clearance, high-flow oxygen, speaking valve use), swallowing rehabilitation (oral motor exercises, laryngeal elevation training), physical therapy (joint mobility, electrical stimulation), and psychological support. Following this regimen, she achieved ventilator independence, extended phonation duration from 10 minutes to 1 hour, and demonstrated safer swallowing with reduced aspiration risk. Despite these gains, residual challenges included incomplete limb motor recovery, food spillage due to weak oral musculature, and persistent sensory disturbances. Her progress highlights the role of early multidisciplinary rehabilitation in restoring critical functions in postpartum GBS, while persisting deficits emphasize the need for long-term adaptive care. This case provides actionable insights for optimizing maternal GBS management, advocating integrated care models addressing physical and psychological recovery to advance global maternal health priorities.</p>","PeriodicalId":14337,"journal":{"name":"International Medical Case Reports Journal","volume":"18 ","pages":"1105-1109"},"PeriodicalIF":0.7000,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398288/pdf/","citationCount":"0","resultStr":"{\"title\":\"Postpartum Guillain-Barré Syndrome Rehabilitation: A Case Report on Multidisciplinary Management and Functional Outcomes.\",\"authors\":\"Siwan Luo, Bangkui Zhang, Yixuan Huang, Jingwen Yan, Xiaolan Lin, Xue Zhang\",\"doi\":\"10.2147/IMCRJ.S529582\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Guillain-Barré syndrome (GBS), a serious acute neurological disorder that can occur during pregnancy and the postpartum period, poses significant risks to maternal health. Severe cases may rapidly progress to generalized paralysis or life-threatening complications, underscoring the urgency of early rehabilitation interventions to mitigate acute sequelae. This report details the rehabilitation journey of a 27-year-old female diagnosed with GBS following cesarean delivery at 36 weeks of gestation. Initially presenting with limb paralysis, respiratory failure, and dysphagia, she received immunoglobulin therapy and mechanical ventilation; however, persistent deficits necessitated transfer to specialized rehabilitation. A multidisciplinary program integrated respiratory training (sputum clearance, high-flow oxygen, speaking valve use), swallowing rehabilitation (oral motor exercises, laryngeal elevation training), physical therapy (joint mobility, electrical stimulation), and psychological support. Following this regimen, she achieved ventilator independence, extended phonation duration from 10 minutes to 1 hour, and demonstrated safer swallowing with reduced aspiration risk. Despite these gains, residual challenges included incomplete limb motor recovery, food spillage due to weak oral musculature, and persistent sensory disturbances. Her progress highlights the role of early multidisciplinary rehabilitation in restoring critical functions in postpartum GBS, while persisting deficits emphasize the need for long-term adaptive care. This case provides actionable insights for optimizing maternal GBS management, advocating integrated care models addressing physical and psychological recovery to advance global maternal health priorities.</p>\",\"PeriodicalId\":14337,\"journal\":{\"name\":\"International Medical Case Reports Journal\",\"volume\":\"18 \",\"pages\":\"1105-1109\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2025-08-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398288/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Medical Case Reports Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2147/IMCRJ.S529582\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Medical Case Reports Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2147/IMCRJ.S529582","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Postpartum Guillain-Barré Syndrome Rehabilitation: A Case Report on Multidisciplinary Management and Functional Outcomes.
Guillain-Barré syndrome (GBS), a serious acute neurological disorder that can occur during pregnancy and the postpartum period, poses significant risks to maternal health. Severe cases may rapidly progress to generalized paralysis or life-threatening complications, underscoring the urgency of early rehabilitation interventions to mitigate acute sequelae. This report details the rehabilitation journey of a 27-year-old female diagnosed with GBS following cesarean delivery at 36 weeks of gestation. Initially presenting with limb paralysis, respiratory failure, and dysphagia, she received immunoglobulin therapy and mechanical ventilation; however, persistent deficits necessitated transfer to specialized rehabilitation. A multidisciplinary program integrated respiratory training (sputum clearance, high-flow oxygen, speaking valve use), swallowing rehabilitation (oral motor exercises, laryngeal elevation training), physical therapy (joint mobility, electrical stimulation), and psychological support. Following this regimen, she achieved ventilator independence, extended phonation duration from 10 minutes to 1 hour, and demonstrated safer swallowing with reduced aspiration risk. Despite these gains, residual challenges included incomplete limb motor recovery, food spillage due to weak oral musculature, and persistent sensory disturbances. Her progress highlights the role of early multidisciplinary rehabilitation in restoring critical functions in postpartum GBS, while persisting deficits emphasize the need for long-term adaptive care. This case provides actionable insights for optimizing maternal GBS management, advocating integrated care models addressing physical and psychological recovery to advance global maternal health priorities.
期刊介绍:
International Medical Case Reports Journal is an international, peer-reviewed, open access, online journal publishing original case reports from all medical specialties. Submissions should not normally exceed 3,000 words or 4 published pages including figures, diagrams and references. As of 1st April 2019, the International Medical Case Reports Journal will no longer consider meta-analyses for publication.