I am a pediatrician. last week a 4years old girl was admitted to our ward with picture of heart failure.echo revealed global hypokinesia of lt ventricle. she was treated with lanoxin, lasix, capoten and L- carnitine. the galloping rhythm disappeared and her distress was improved despite still tachycardic. the mother reported progressive weakness in her lower limbs and increasing hypotonia was observed. family history was positive for delayed motor development in this girl as well as her younger brother, in addition to death of other 2 sibs with ? similar condition. myopathy in association with cardiomyopathy was considered and EMG and nerve conduction were ordered. to our surprise, this revealed Guillian Barre syndrome. my question is: could Guillian Barre syndrome be associated with dilated cardiomyopathy? and have you seen familiar cases of guillian Barre syndrome?
I am an endocrinologist so have not seen GB syndrome in some time -- there are a few articles on a pubmed search describing CM w/ GBS - hopefully as she recovers the CM will resolve. If it is a high-output CM (which would be dilated - possibly catecholamine mediated) it would be a similar picture to what we see in Graves Disease -- which reverses w/ correcting the thyrotoxciosis.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.