A 39 year old man with acute panautonomic and mild somatic neuropathy had severe postural hypotension 1 week after onset. Porphyric neuropathy was excluded. The final diagnosis was Guillain-Barré syndrome (GBS). After 2 months he began to recover progressively and after 9 months he presented asymptomatic postural hypotension. We consider the hypothesis of a spectrum of clinico-pathological entities at one end of which lies GBS with autonomic signs and at the other acute pure dysautonomia. The site of the autonomic lesion, might have been in post-ganglionic sympathetic fibers and vagus nerve. © 1990 Masson Italia periodici s.r.l.
Cortelli, P., Contin, M., Lugaresi, A., Baruzzi, A., Montagna, P. (1990). Severe dysautonomic onset of Guillain-Barré syndrome with good recovery. A clinical and autonomic follow-up study. ITALIAN JOURNAL OF NEUROLOGICAL SCIENCES, 11(2), 157-162 [10.1007/BF02335559].
Severe dysautonomic onset of Guillain-Barré syndrome with good recovery. A clinical and autonomic follow-up study
Cortelli P.;Contin M.;Lugaresi A.Investigation
;Baruzzi A.;Montagna P.
1990
Abstract
A 39 year old man with acute panautonomic and mild somatic neuropathy had severe postural hypotension 1 week after onset. Porphyric neuropathy was excluded. The final diagnosis was Guillain-Barré syndrome (GBS). After 2 months he began to recover progressively and after 9 months he presented asymptomatic postural hypotension. We consider the hypothesis of a spectrum of clinico-pathological entities at one end of which lies GBS with autonomic signs and at the other acute pure dysautonomia. The site of the autonomic lesion, might have been in post-ganglionic sympathetic fibers and vagus nerve. © 1990 Masson Italia periodici s.r.l.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.