![]() ![]() X, a 47-year-old Caucasian male patient with no medical history visited the emergency unit on Jbecause of diplopia and dysphonia that had appeared during the night. Long-term physiotherapy and specific rehabilitation programs appear essential to improve recovery. ![]() Fulminant GBS has a worse outcome than “standard” GBS with higher rates of severe disability (about 50%). ![]() This case and the associated literature review of 34 previously reported fulminant GBS patients emphasize the importance of electrophysiological investigations during clinical brain-death states with no definite cause. ![]() The outcome was favorable after long Intensive Care Unit and inpatient rehabilitation stays, despite persistent disability at 9 years follow-up. Cerebrospinal fluid analysis, electrophysiologic studies, and a recent history of diarrhea led to the diagnosis of Campylobacter jejuni-related fulminant Guillain-Barré syndrome (GBS) mimicking brain death. Electroencephalogram ruled out brain death diagnosis as a paradoxical sleep trace was recorded. On day 3, the patient was in a “brain-death”-like state with deep coma and absent brainstem reflexes. Swallowing disorders and respiratory muscular weakness quickly required invasive ventilation. A 47-year-old man was admitted to the intensive care unit a few hours after presenting to emergency department with acute diplopia and dysphonia. ![]()
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