Peaked T - Waves and Sinus Arrhythmia Before Prolonged Sinus Pauses and Atrioventricular Block in Guillain-Barre Syndrome

Abstract

An 18-year-old woman presented with a rapidly progressive ascending flaccid paralysis and numbness requiring mechanical ventilation after an upper respiratory infection. Guillain-Barre Syndrome was diagnosed based on albumino-cytologic dissociation in the cerebrospinal fluid (elevated proteins with normal white blood cell count) and a demyelinating sensory-motor polyneuropathy pattern on the electromyogram. She was initially treated with intravenous immunoglobulin, but later required plasmapheresis for non-resolution of symptoms.

Keywords

• Guillain-Barre Syndrome
• Autonomic dysfunction
• Arrhythmia
• Heart block.