Guillian Barre Syndrome- a rare cause of quadriparesis after Bentall
Procedure for type A Aortic dissection.
Abstract
Neurologic complications following cardiac surgery are most likely
cerebrovascular accidents due to embolism resulting in hemiparesis or
hemiplegia. Paraplegia following cardiac surgery occurs due to spinal
infarcts or spinal ischemia especially in the setting of aortic
dissections or Thoraco abdominal aortic surgery. Quadriparesis following
cardiac surgery is a rare entity. That too, Guillian-Barre Syndrome
(GBS) as a cause of quadriparesis is very rare. The exact
pathophysiology of GBS is not known. Immune-mediated process has been
postulated to be the cause of GBS. Here we report a 49 year old male who
presented with acute aortic dissection and underwent Bentall procedure
following which he developed quadriparesis, diagnosed to be a case of
GBS and was successfully treated with intravenous Immunoglobulin (IVIG).