February 2019 Vol. 7 No.2

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Case Report

The Plasmapheresis in the Treatment of Guillain-Barré Syndrome Associated with Primary Enteric Neuropathy, Case Report. Up-Date Data from Literature

Lungu Mihaela^1* and Sapira Violeta²

¹Assoc. Prof., Head of Neurological Department, Emergency Clinical Hospital Galati, Romania; Faculty of Medicine and Pharmacy, “Dunarea de Jos” University of Galati, Romania
²Assist. Prof., Neurological Department, Emergency Clinical Hospital Galati, Romania; Faculty of Medicine and Pharmacy, “Dunarea de Jos” University of Galati, Romania

*Corresponding Author’s E-mail: mihaelalungu17@yahoo.com micalungu@gmail.com
Phone: +40724365046

Accepted February 24, 2019

Abstract

The article presents a case with a particular clinical situation that has associated an enteric neuropathy with an evolution of over two months, with a Guillain-Barré syndrome (Landry type), both remitted after plasmapheresis. A 53 year old male patient has been admitted in our Neurological Department with dehydration, syncope and orthostatic hypotention, due to an enteric neuropathie, complicated in 8 days with a Guillain Barré syndrome-GBS. This type of associated diseases is rarely described in the literature, being well known that GBS can be precede with two weeks in advance by a diarrheic episode. In our case, a chronic diarrheic sufferance was involved- an enteric neuropathy. Both types of neurological manifestations had an obvious improvement after plasmapheresis, suggesting an autoimmune process as common etiology.

Keywords: Enteric neuropathy, Guillain-Barré syndrome, plasmapheresis