Peculiar clinical pictures of Guillain-Barré-Strohl syndrome. Description of 2 clinical cases
Appiotti, A.; Trebini, F.; Scarzella, G.
Minerva Medica 81(10): 727-729
1990
ISSN/ISBN: 0026-4806 PMID: 2234470 Document Number: 359219
A clinical of 37 patients suffering form Guillain-Baré syndrome has been carried out. Because of their unusual onset and clinical course, two of the cases are reported in full. The first case presented atypical onset modalities characterised by dysarthria, dysphonia and dysphagia with subsequent diplegia of the facial nerve and motor involvement of all four extremities; the second was difficult to diagnose and over time it turned out to be disimmune chronic-recurrent polyneuropathy. The clinic instrumental diagnostic and therapeutic course of this case, which was characterised by the poor response to corticosteroid therapy as a result of which use of immunosuppressor (azatioprine) and plasma-feresis were employed with a reaosable improvement, is described in detail. The differential diagnosis and nosologica classification are discussed.