A case of central nervous system vasculitis related to an episode of Guillain-Barrè syndrome

Crit Care. 2000;4(4):245-7. doi: 10.1186/cc700. Epub 2000 Jun 16.

Abstract

The authors report their knowledge about an uncommon case of isolated vasculitis, restricted to the left sylvian artery during an auto-immune Guillain-Barrè syndrome (GBS), sustained by cytomegalovirus (CMV). An acute cardiopulmonary failure requiring a ventilator and vasopressor support manifested, notwithstanding plasma exchanging and immune-modulating therapy. An IgM-enriched formula administration coincided with a rapid amelioration of GBS and vasculitis to a complete recovery the next month after her discharge to a rehabilitation centre.

Publication types

  • Case Reports

MeSH terms

  • Adjuvants, Immunologic / therapeutic use
  • Adult
  • Cerebral Angiography
  • Cytomegalovirus Infections / complications*
  • Cytomegalovirus Infections / diagnosis
  • Cytomegalovirus Infections / therapy
  • Female
  • Guillain-Barre Syndrome / complications*
  • Guillain-Barre Syndrome / diagnosis
  • Guillain-Barre Syndrome / therapy
  • Humans
  • Immunoglobulin M / therapeutic use
  • Magnetic Resonance Angiography
  • Plasma Exchange
  • Respiration, Artificial
  • Respiratory Insufficiency / virology
  • Shock / virology
  • Treatment Outcome
  • Vasculitis, Central Nervous System / diagnosis
  • Vasculitis, Central Nervous System / therapy
  • Vasculitis, Central Nervous System / virology*

Substances

  • Adjuvants, Immunologic
  • Immunoglobulin M