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Neuroinmunological response in HIV-associated Guillain-Barre syndrome: A case report

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Author(s): Ivonne M. Iglesias-González | Alberto J. Dorta-Contreras | Bárbara Padilla-Docal | Maylin Victoria-Garcia | Ricardo Junco-Calzadilla

Journal: World Journal of Neuroscience
ISSN 2162-2000

Volume: 02;
Issue: 01;
Start page: 32;
Date: 2012;
Original page

Keywords: Guillain Barre; Human Immunodeficiency Virus; Neuroimmunological Response | Blood/CSF

ABSTRACT
Introduction: Human immunodeficiency virus infec- tion is associated with several different types of peripheral neuropathy: distal predominantly sensory axonal polyneuropathy, like Guillain Barre syndrome. Case presentation: A 55-year-old Caucasian woman with Human immunodeficiency virus infection, diag- nosed with Guillain Barre syndrome was studied. Serum and CSF immunoglobulin G and Albumin levels were quantified by using an immunodiffusion technique. She had preceding viral symptoms. The clinical diagnosis of the illness in this patient was pa-resthesias or sensory loss, tendon reflexes. It was also observed cranial nerves abnormalities, acute mo- tor and sensory axonal neuropathy and ophthalmoplegia. The mean CD4 count was 367/mm3, CSF white blood cell 25 wbc/mm3. The serum sodium concentration was significantly low (133 mmol/L). She had a respiratory compromise as a result of their neuropa- thy and developed congestive heart failure and hy- potension and died of a cardiac arrest. The neuro-immunological response described by our patient was a blood/CSF barrier dysfunction without IgG intra-thecal synthesis. Conclusion: There is no doubt that this study is of great importance because will help clinicians increase their knowledge of the immune response in patients with this autoimmune disorder on the basis of this case report, in which, for first time, could be seen the neuroimmunological response through the reibergram in a patient with HIV- asso-ciated Guillain-Barre syndrome.
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