Síndrome de Guillain-Barré asociado a cirugía de revascularización coronaria. Reporte de caso

Abstract

We describe the case of a 65-year-old patient with a history of acute myocardial infarction who was admitted electively for coronary revascularization surgery for multivessel disease, which was performed without immediate complications. Ten days after the procedure, she presented paresis of all four extremities that progressed until she required ventilatory support; An approach to muscle weakness syndrome is performed, within this, MRI of the thoracolumbar spine which rules out a spinal cause, for which human immunoglobulin is started, achieving recovery of muscle strength, elective extubation and favorable evolution; The diagnosis is subsequently confirmed by nerve conduction velocity of four extremities. Guillain-Barré syndrome associated with cardiac surgery is rare and few cases have been reported worldwide, the following case would be the fourteenth that can be documented and the first case reported in El Salvador.