Encefalopatía aguda en un paciente tratado con inmunoglobulina endovenosa por un síndrome de Guillain-Barré
Adverse reactions to intravenous immunoglobulin (ivIg) therapy, such as anaphylaxis, acute encephalopathy, aseptic meningitis, or thrombotic phenomena are uncommon. We report a 58-year-old man with hypertension presenting with muscle weakness which led to paraparesia and respiratory failure. With th...
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Sociedad Médica de Santiago
2011
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oai:scielo:S0034-988720110010000142012-01-03Encefalopatía aguda en un paciente tratado con inmunoglobulina endovenosa por un síndrome de Guillain-BarréSoto V,ÁlvaroCartier R,Luis Guillain-Barré syndrome Immunoglobulin intravenous Neurotoxicity syndromes Adverse reactions to intravenous immunoglobulin (ivIg) therapy, such as anaphylaxis, acute encephalopathy, aseptic meningitis, or thrombotic phenomena are uncommon. We report a 58-year-old man with hypertension presenting with muscle weakness which led to paraparesia and respiratory failure. With the diagnosis of Guillain-Barré syndrome (GBS), he was treated with ivIg. He developed an acute encephalopathy few hours after the administration of ivIg, with a decreased level of consciousness and agitation. A CT scan revealed moderate and diffuse brain edema. Encephalopathy resolved 96 hours after ivIg withdrawal and use of plasma exchange. A CT scan performed seven days after showed the resolution of brain edema.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.139 n.10 20112011-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011001000014es10.4067/S0034-98872011001000014 |
institution |
Scielo Chile |
collection |
Scielo Chile |
language |
Spanish / Castilian |
topic |
Guillain-Barré syndrome Immunoglobulin intravenous Neurotoxicity syndromes |
spellingShingle |
Guillain-Barré syndrome Immunoglobulin intravenous Neurotoxicity syndromes Soto V,Álvaro Cartier R,Luis Encefalopatía aguda en un paciente tratado con inmunoglobulina endovenosa por un síndrome de Guillain-Barré |
description |
Adverse reactions to intravenous immunoglobulin (ivIg) therapy, such as anaphylaxis, acute encephalopathy, aseptic meningitis, or thrombotic phenomena are uncommon. We report a 58-year-old man with hypertension presenting with muscle weakness which led to paraparesia and respiratory failure. With the diagnosis of Guillain-Barré syndrome (GBS), he was treated with ivIg. He developed an acute encephalopathy few hours after the administration of ivIg, with a decreased level of consciousness and agitation. A CT scan revealed moderate and diffuse brain edema. Encephalopathy resolved 96 hours after ivIg withdrawal and use of plasma exchange. A CT scan performed seven days after showed the resolution of brain edema. |
author |
Soto V,Álvaro Cartier R,Luis |
author_facet |
Soto V,Álvaro Cartier R,Luis |
author_sort |
Soto V,Álvaro |
title |
Encefalopatía aguda en un paciente tratado con inmunoglobulina endovenosa por un síndrome de Guillain-Barré |
title_short |
Encefalopatía aguda en un paciente tratado con inmunoglobulina endovenosa por un síndrome de Guillain-Barré |
title_full |
Encefalopatía aguda en un paciente tratado con inmunoglobulina endovenosa por un síndrome de Guillain-Barré |
title_fullStr |
Encefalopatía aguda en un paciente tratado con inmunoglobulina endovenosa por un síndrome de Guillain-Barré |
title_full_unstemmed |
Encefalopatía aguda en un paciente tratado con inmunoglobulina endovenosa por un síndrome de Guillain-Barré |
title_sort |
encefalopatía aguda en un paciente tratado con inmunoglobulina endovenosa por un síndrome de guillain-barré |
publisher |
Sociedad Médica de Santiago |
publishDate |
2011 |
url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011001000014 |
work_keys_str_mv |
AT sotovalvaro encefalopatiaagudaenunpacientetratadoconinmunoglobulinaendovenosaporunsindromedeguillainbarre AT cartierrluis encefalopatiaagudaenunpacientetratadoconinmunoglobulinaendovenosaporunsindromedeguillainbarre |
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