RT Journal Article
SR Electronic
T1 Guillain–Barré syndrome presenting with an ‘angina’ mimic and posterior reversible encephalopathy syndrome
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 409
OP 411
DO 10.7861/clinmed.2019-0207
VO 19
IS 5
A1 Boby Varkey Maramattom
YR 2019
UL http://www.rcpjournals.org/content/19/5/409.abstract
AB A 56-year-old woman presented with severe headache, blurring of vision, hypertensive emergency and severe crushing central chest pain. Extensive evaluation was undertaken to rule out sinister myocardial, pulmonary and mediastinal pathology. Pain relief required intravenous opiates. One week later, persistent complaints of numbness of hands and legs led to a suspicion of dysautonomic inflammatory neuropathy. Nerve conduction studies confirmed a demyelinating Guillain–Barré syndrome. Intravenous immunoglobulin treatment led to rapid resolution of pain, dysautonomia and neuropathic symptoms.