길랑-바레 증후군 환자에서 지속된 자율신경계 기능 이상-증례보고

• Published in: Annals of rehabilitation medicine pp. 586 - 590
• Main Authors: 이상지, 최은석, 정성희, 조예림, 한지아, 유인희
• Format: Journal Article
• Language: Korean
• Published: 대한재활의학회 01.10.2008
• Subjects: 재활의학
• ISSN: 2234-0645; 2234-0653

Autonomic dysfunction is a common manifestation in Guillain-Barre syndrome (GBS), but it rarely persists. We report a case involving a 22-year-old man who presented with glove-and-stocking type sensory loss, symmetric weakness, urinary distension, orthostatic hypotension, decreased perspiration, and the syndrome of inappropriate secretion of antidiuretic hormone. He was subsequently diagnosed as having GBS with autonomic failure that persisted for more than six months, despite regaining muscle strength. Orthostatic hypotension progressively improved after rehabilitation and administration of midodrine and fludrocortisone. Extensive evaluation and management should be performed in patients with GBS because severe autonomic dysfunction is a major source of disability KCI Citation Count: 0