Successful treatment of a 12-year-old boy with Guillain-Barré syndrome requiring tracheostomy due to respiratory muscle paralysis: A case report
| Autor: | Shigemi Yoshihara, Manabu Miyamoto, Yoshiyuki Kaji, Yutaka Saito, Go Ichikawa, Takahide Nagashima, Takashi Kashiwagi, George Imataka, Kei Funakoshi, Norito Kokubun, Koji Wake |
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| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
Cancer Research Rehabilitation Guillain-Barre syndrome business.industry medicine.medical_treatment Tracheal intubation General Medicine Articles Artificial respiration medicine.disease 03 medical and health sciences 030104 developmental biology 0302 clinical medicine Immunology and Microbiology (miscellaneous) Respiratory failure Quality of life hemic and lymphatic diseases 030220 oncology & carcinogenesis Anesthesia medicine Breathing Respiratory muscle business |
| Zdroj: | Experimental and therapeutic medicine. 19(2) |
| ISSN: | 1792-0981 |
| Popis: | Childhood Guillain-Barre syndrome (GBS) occasionally leads to respiratory failure early after onset, requiring long-term ventilation management after tracheal intubation. However, patients requiring tracheostomy management are rare. In the present study, a case of a 12-year-old boy with GBS who required artificial respiration management due to rapid progression of respiratory muscle paralysis is reported. Intravenous immunoglobulin (IVIg) and pulse steroid therapy were provided; however, both were ineffective and tracheostomy was necessary 26 days after onset. A second course of IVIg and pulse steroid therapy was administered on day 34. With continued rehabilitation, the patient was able to walk long distances on day 74 and was subsequently discharged on day 89. In cases of severe GBS, when IVIg and pulse steroid therapy do not improve the respiratory muscle strength of the patient, early tracheostomy may improve the patient's quality of life during artificial respiration management. |
| Databáze: | OpenAIRE |
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