Guillain Barré Syndrome Recurrent: Case report

Abstract

Guillain-Barré syndrome or acute polyradiculoneuritis is an autoimmune disease, triggered by a viral or bacterial infection, its incidence is 1.7 / 100000, only 3% may relapse in subsequent years. It is a rare pathology and less frequent are still recurrent cases, so we perform a review of its epidemiology, clinical picture, diagnostic criteria and its management. This is a 1-year-old male patient, who on October 13, 2008 was admitted for 1 month to the Honduran Institute of Social Security (IHSS) with progressive ascending flaccid paralysis (Guillain Barré Syndrome), received management with immunoglobulin whose dose and other information about its treatment, tests or studies are unknown. Complete recovery occurred approximately 6 months after the onset of symptoms. However, she re-enrolled on November 12, 2014 at IHSS with a diagnosis of recurrent ascending flaccid paralysis (second episode), without complete recovery since she had sequelae in lower limbs. Electromyography was performed with data compatible with symmetric demyelinating motor polyradiculopathy. In March of this year (2017) is presented with the same symptomatology for what is entered as recurrent Guillain Barré syndrome (third episode).