The Journal of Critical Care Medicine (Oct 2021)

Severe Acute Motor Axonal Neuropathy Associated with Influenza-A (H1N1) Infection and Prolonged Respiratory Failure - A Case Report

  • Mosora Oana,
  • Barcutean Laura,
  • Balasa Rodica,
  • Fodor Raluca,
  • Maier Smaranda,
  • Bajko Zoltan,
  • Stoian Adina,
  • Motataianu Anca

DOI
https://doi.org/10.2478/jccm-2021-0030
Journal volume & issue
Vol. 7, no. 4
pp. 302 – 307

Abstract

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Acute Motor Axonal Neuropathy (AMAN) is an immune-mediated disorder of the peripheral nervous system, part of the spectrum of the Guillain-Barre syndrome (GBS). An infectious event most often triggers it reported a few weeks before the onset. The reported case is of a 56 years-old woman who developed acute motor axonal neuropathy three weeks after respiratory infection with influenza A virus subtype H1N1. Despite early treatment with plasmapheresis and intravenous immunoglobulins, the patient remained tetraplegic, mechanically ventilated for five months, with repetitive unsuccessful weaning trails. The probable cause was considered to be phrenic nerve palsy in the context of acute motor axonal neuropathy. This case highlights that acute motor axonal neuropathy is a severe and life-threatening form of Guillain-Barre syndrome associated with significant mortality and morbidity. Neurological and physical recovery strongly depend on the inter-professional effort in an intensive care unit and neurology professionals.

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