TY - JOUR
T1 - Stimulus-evoked sinus arrest in severe Guillain-Barre syndrome
T2 - A case report
AU - Minahan, Robert E.
AU - Bhardwaj, Anish
AU - Traill, Thomas A.
AU - Hanley, Daniel F.
PY - 1996/11
Y1 - 1996/11
N2 - Guillain-Barre syndrome, or acute inflammatory demyelinating polyradiculoneuropathy, is frequently accompanied by cardiac and autonomic dysfunction. We report a patient in whom minor autonomic stimulation by upgaze, tongue protrusion, opening the mouth against resistance, eyeball pressure, and carotid sinus massage produced asystole. The frequency of potentially lethal dysrhythmias in Guillain-Barre syndrome, coupled with the relative ease of cardiac pacing, makes recognition of these phenomena of utmost importance in affected patients.
AB - Guillain-Barre syndrome, or acute inflammatory demyelinating polyradiculoneuropathy, is frequently accompanied by cardiac and autonomic dysfunction. We report a patient in whom minor autonomic stimulation by upgaze, tongue protrusion, opening the mouth against resistance, eyeball pressure, and carotid sinus massage produced asystole. The frequency of potentially lethal dysrhythmias in Guillain-Barre syndrome, coupled with the relative ease of cardiac pacing, makes recognition of these phenomena of utmost importance in affected patients.
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U2 - 10.1212/WNL.47.5.1239
DO - 10.1212/WNL.47.5.1239
M3 - Article
C2 - 8909436
AN - SCOPUS:10344227683
SN - 0028-3878
VL - 47
SP - 1239
EP - 1242
JO - Neurology
JF - Neurology
IS - 5
ER -