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Plasmaféresis en el síndrome de Guillain Barre: Presentación de tres casos Translated title: Plasmapheresis in Guillain Barre's syndrome: three cases presentation

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      Abstract

      Se presentan tres casos con Síndrome de Guillain Barre, admitidos en la unidad de cuidados intensivos del Hospital Provincial Manuel Ascunce Domenech desde julio a septiembre de 2003. La infección respiratoria y gastrointestinal de causa viral precedió el cuadro en dos casos. Posterior a la debilidad muscular y parálisis progresiva de extremidades, apareció marcada dificultad respiratoria con necesidad de ventilación mecánica artificial en dos pacientes. La plasmaféresis permitió una recuperación rápida de la severidad de los síntomas. A partir de la quinta plasmaféresis se logró una ventilación espontánea, y antes de ella, una mejoría motora. Los pacientes se recuperaron completamente dos meses después de la rehabilitación y la fisioterapia, y fueron seguidos durante seis meses sin recaídas.

      Translated abstract

      Three cases of Guillain Barre's syndrome are presented, they were admitted in the intensive care unit of Manuel Ascunce Domenech Provincial Hospital from July to September, 2003. Breathing and gastrointestinal infection of viral etiology preceded the picture in two cases. Affter muscular weakness and progressive paralysis of limbs, a marked breathing difficulty appeared with necessity of artificial mechanical ventilation in two cases. Plasmapheresis allowed a rapid recovering from severity of symptoms. Starting from the fifth plasmapheresis, it was achieved a spontaneous ventilation and previous to it, a motor improvement. The totality of patients survived with complete recovery two months after rehabilitation and physiotherapy. Patients were followed up during six months without relapses.

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      Most cited references 11

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      Plasmaféresis en el síndrome de Guillain-Barre

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        Randomized trial comparing intravenous inmunoglobuling and plasma intravenous inmunoglobuling and plasma exchange in Guillain Barre syndrome

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          Dissociation between titer of anti-ganglioside antibody and severity of symptoms in a case of Guillain-Barre syndrome with treatment related fluctuation

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            Author and article information

            Affiliations
            [1 ] Hospital Provincial Docente Clínico Quirúrgico Manuel Ascunce Domenech Cuba
            Contributors
            Role: ND
            Role: ND
            Role: ND
            Role: ND
            Role: ND
            Journal
            amc
            Revista Archivo Médico de Camagüey
            AMC
            Editorial Ciencias Médicas Camagüey
            1025-0255
            October 2004
            : 8
            : 5
            : 120-128
            S1025-02552004000500013

            This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

            Product
            Product Information: SciELO Cuba
            Categories
            MEDICINE, GENERAL & INTERNAL

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