PubMed · 2016 · 12 citations · 7 references
MedicineNeurologySurgeryAutoimmunityCardiothoracic SurgeryImmunopathologyAutoimmune DiseasesAutoimmune Neurological DisordersCoronary Artery SurgeryAntiganglioside Antibody SyndromesAutoimmune Neurological DiseaseCoronary Artery Bypass Grafting RecoveryGuillain-barré Syndrome PathogenesisNeurologic Deficits
Guillain-Barre syndrome is a neurologic disorder that may appear after infection or major surgery. Guillain-Barré syndrome following cardiac surgery is rare and only based on case reports, and we review all of the published cases. A 52-year-old man after 5 months suffering from chest pain was referred to our hospital and underwent coronary artery bypass graft for 3 vessel disease. The patient was discharged without complication on the 5th postoperative day. He presented Guillain-Barré syndrome after 12 months. He has not completely recovered weakness of upper extremities grade 4/5 with atrophy of both upper extremities remains after 18 months. This disorder is similar to classic GBS. It is important to be alert to de novo autoimmune neurological disorders after cardiac surgery. These disorders are similar to classic autoimmune disease and treated with standard therapies.
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