Document Detail


Landry Guillain-Barré Strohl syndrome in pregnancy: report of three cases treated with plasmapheresis.
MedLine Citation:
PMID:  1870800     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Landry Guillain-Barré Strohl syndrome complicating pregnancy is a rare occurrence, with only 31 cases previously reported in the obstetric literature. Cytomegalovirus as a potential etiologic agent has been documented in only two of these cases. In the past, symptomatic treatment of pregnant patients with severe and progressive symptoms has been associated with an unacceptably high rate of maternal morbidity and mortality. Recent studies have shown convincingly that plasmapheresis is the treatment of choice for nonpregnant patients acutely ill with Guillain-Barré syndrome, but data regarding its use in pregnancy are limited. We report three patients, two of whom had positive cytomegalovirus titers, in whom aggressive plasmapheresis prevented the need for ventilatory support and its inherent increase in maternal morbidity and mortality.
Authors:
T J Hurley; A D Brunson; R L Archer; S F Lefler; J G Quirk
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  78     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1991 Sep 
Date Detail:
Created Date:  1991-09-16     Completed Date:  1991-09-16     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  482-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, University of Arkansas for Medical Sciences, Little Rock.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Follow-Up Studies
Humans
Infant, Newborn
Male
Plasmapheresis*
Polyradiculoneuropathy / therapy*
Pregnancy
Pregnancy Complications / therapy*
Puerperal Disorders / therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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