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Headache in guillain-barre syndrome
Srinivas Pyati1, Platon A Razis, Pradeep Desai
1From the Department of Anaesthesia, St. George's Healthcare NHS Trust, London, UK.
Journal of Neurosurgical Anesthesiology
|November 24, 2004
Summary
Severe headache is an uncommon symptom in Guillain-Barre syndrome. This case study details managing a patient with elevated intracranial pressure, where cerebrospinal fluid drainage provided headache relief.
Area of Science:
- Neurology
- Neuroscience
- Critical Care Medicine
Background:
- Guillain-Barre syndrome (GBS) is an autoimmune disorder affecting the peripheral nervous system.
- Severe headache is an atypical presentation of GBS, often associated with complications.
Observation:
- A young patient with GBS presented with intractable severe headache unresponsive to standard analgesics.
- Clinical examination revealed signs suggestive of increased intracranial pressure.
Findings:
- Diagnostic investigations confirmed elevated intracranial pressure in the patient.
- Therapeutic lumbar puncture with cerebrospinal fluid (CSF) drainage resulted in significant headache amelioration.
Implications:
- This case highlights the importance of considering elevated intracranial pressure in GBS patients with severe headache.
- Cerebrospinal fluid drainage may be an effective management strategy for headache attributed to raised intracranial pressure in GBS.