Korean J Anesthesiol.  2013 Mar;64(3):268-271. 10.4097/kjae.2013.64.3.268.

Anesthetic management for cesarean delivery in a Guillain-Barre syndrome patient: A case report

• Kim H
• Ryu J
• Hwang JW
• Do SH

• KMID: 1767340
• DOI: http://doi.org/10.4097/kjae.2013.64.3.268

Abstract

Guillain-Barre syndrome is an acute inflammatory demyelinating polyradiculopathy characterized by progressive motor weakness, areflexia, and ascending paralysis. Guillain-Barre syndrome is extremely rare in pregnant patients, and there are no established guidelines for delivery or safest anesthetic methods. We report a Cesarean delivery in the case of a 32-year old woman who was diagnosed with Guillain-Barre syndrome 18 weeks into gestation. Tracheostomy was performed due to progressive respiratory muscle weakness and respiratory failure, and ventilator support was required in the intensive care unit. The respiratory difficulty was exacerbated by the growth of the fetus, necessitating emergency Cesarean delivery. The delivery was successfully performed under general anesthesia, and the patient recovered without neurological sequelae.

Keyword

Cesarean section; General anesthesia; Guillain-Barre syndrome; Pregnancy; Tracheostomy

MeSH Terms

Anesthesia, General
Cesarean Section
Emergencies
Female
Fetus
Guillain-Barre Syndrome
Humans
Intensive Care Units
Paralysis
Polyradiculopathy
Pregnancy
Respiratory Insufficiency
Respiratory Muscles
Tracheostomy
Ventilators, Mechanical