Fulminant demyelinating neuropathy mimicking cerebral death.
Guillain-Barré syndrome can very rarely present with acute quadripares and cranial nerve involvement resembling a locked-in state. We describe a very unusual case of fulminant neuropathy in a child who was previously exposed to vincristine. The clinical picture resembled brain death; however, electrodiagnostic studies led to the diagnosis of a peripheral neuropathy. Serial electrodiagnostic studies and pathologic findings confirmed demyelination.
Bakshi, N; Maselli, RA; Gospe, SM; Ellis, WG; McDonald, C; Mandler, RN
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