Stimulus-evoked sinus arrest in severe Guillain-Barré syndrome: a case report

Guillain-Barré 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 carot...

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Bibliographic Details
Published inNeurology Vol. 47; no. 5; p. 1239
Main Authors Minahan, Jr, R E, Bhardwaj, A, Traill, T A, Hanley, D F
Format Journal Article
LanguageEnglish
Published United States 01.11.1996
Subjects
Adult
Bradycardia - physiopathology
Electrocardiography
Heart Arrest - physiopathology
Humans
Male
Polyradiculoneuropathy - physiopathology
Prognosis
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Summary:Guillain-Barré 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-Barré syndrome, coupled with the relative ease of cardiac pacing, makes recognition of these phenomena of utmost importance in affected patients.
ISSN:0028-3878
DOI:10.1212/WNL.47.5.1239