Table 1 Published case reports of GBS after MI
From: Guillain–Barre syndrome after myocardial infarction: a case report and literature review
First Author | Sex | Clinical manifestations of nervous system | Appearance of GBS (days) | Heart problems | Treatment for GBS | Treatment for MI | MV | Outcome |
|---|---|---|---|---|---|---|---|---|
1 Eden et al. [7] | M | Paresthesia, quadriparesis | 11 | Acute inferior MI | Prednisone, physiotherapy | Streptokinase | NO | Muscle strength and deep-tendon normal |
2 Leaf et al. [8] | M | Leg weakness, dyspnoea | 9 | Acute inferior MI. Right coronary artery occluded | N/A | Transluminal angioplasty, streptokinase | YES | Progressive recovery |
3 McDonagh and Dawson [9] | M | Paresthesia, quadriparesis, areflexia | 17 | ST-segment elevation inferior MI | Physiotherapy | N/A | NO | Full recovery |
4 McDonagh and Dawson, 1987 [9] | F | Paresthesia, papilloedema, areflexia | 12 | ST-segment elevation anterior MI | Physiotherapy | N/A | NO | Good return of motor function |
5 Roquer et al. [10] | M | Quadriparesis, left facial paralysis, severe autonomic disfunction, dyspnoea | 15 | Acute anterior transmural MI | N/A | Streptokinase | YES | Good |
6 Barnes et al. [11] | M | Paresthesia, bilateral facial paralysis, severe bulbar weakness, quadriparesis | 21 | MI | Plasmapheresis | Streptokinase | NO | Walk alone |
7 Kaiser et al. [12] | M | Vesical paralysis, paresthesia, quadriparesis, bilateral facial palsy | 9 | Acute posterior MI | Prednisolone | Streptokinase | NO | Good return of movement and paresthesia |
8 Ancillo et al. [13] | M | Paresthesia, areflexia, and quadriparesis | 15 | Acute inferior MI | Methylprednisolone | Anistreplase | NO | Died for ventricular arrhythmia |
9 Sharma et al. [14] | M | Paresthesia, quadriparesis, dysarthria, right facial paralysis | 6 | ST-segment elevation in all precordial leads (V1 -V6) | Plasmapheresis | Diuretic, ACE inhibitor | NO | Walk alone |
10 Ng and Stafford [15] | M | Paresthesia, quadriparesis, areflexia, dyspnoea | 10 | Acute ST-segment elevation anterior MI | IVIg | N/A | YES | Gradual recovery |
11 Eshraghian et al. [16] | M | Paresthesia, limb weakness, dyspnoea | 7 | ST-elevation in V2-V4 precordial leads | IVIg | Streptokinase | YES | Four limb muscle power returning to 3 of 5 |
12 Kumar et al. [17] | M | Paresthesia, limb weakness, bilateral facial paralysis, dysphagia, dyspnoea | 17 | Acute ST-segment elevation anterior MI, the left anterior descending artery proximal 90% stenosis | IVIg | Streptokinase, angioplasty, stent implantation | YES | Good return of motor function |
13 Gajjar et al. [18] | M | Autonomic disfunction, paresthesia, quadriparesis, respiratory failure | 6 | Acute inferior MI | Plasmapheresis | Operated for ventricular septal defect | YES | Good return of movement and respiratory |
14 Aldag et al. [20] | M | Paresthesia, limb weakness, ataxia, left-sided ptosis, weakness and dysphagia, dyspnoea | 5 | Anterior ST-segment elevation MI, Triple-vessel coronary artery disease | Plasmapheresis, IVIg | Coronary artery bypass under cardiopulmonary bypass (CPB) with 30 hypothermia | YES | Died for cardiopulmonary arrest |
15 Kumar et al. [19] | M | Respiratory failure, areflexic, quadriparesis | 1 | Anterior wall non-ST elevation MI, left anterior descending artery and midright coronary artery stenosis (respectively 90% and 80%) | IVIg | Off-pump coronary artery bypass graft | YES | Complete recovery |
16 Our case | F | Paresthesia, quadriparesis, respiratory failure | 4 | ST-segment elevation in leads II、III、aVF、V3-V5, V7-V9 | IVIg | PCI | YES | Died for cardiopulmonary arrest |