Please use this identifier to cite or link to this item: doi:10.22028/D291-40207
Title: Consecutive Eyeball Pressure Tests Reflect Clinically Relevant Vagal Dysfunction and Recovery in a Patient With Guillain-Barré-Syndrome With Tenacious Cardiac Dysautonomia
Author(s): Becker, Anouck
Behnke, Stefanie
Walter, Silke
Fousse, Mathias
Buob, Axel
Bürmann, Jan
Faßbender, Klaus
Unger, Marcus M.
Language: English
Title: Frontiers in Neurology
Volume: 11
Publisher/Platform: Frontiers
Year of Publication: 2020
Free key words: neuroimmunology
Guillain-Barré-syndrome (GBS)
Vagal dysfunction
mycoplasma pnemoniae
eyeball pressure testing
cardiac dysautonomia
DDC notations: 610 Medicine and health
Publikation type: Journal Article
Abstract: Cardiac dysautonomia is a potentially life-threatening complication of Guillain-Barré syndrome (GBS). Proper and prompt recognition of patients at risk and subsequent intensive care unit (ICU) monitoring are mandatory to prevent fatal outcome. Eyeball pressure testing (EP) has been suggested as an easy applicable bedside test for vagal overreactivity in GBS and thus identifying patients at risk. Yet, there is only sparse follow-up data concerning the course of EP findings in GBS. We report a 25 years-old male patient with GBS who underwent consecutive EP (n = 11) during his ICU stay over a period of 11 weeks. The series of tests performed in this patient (and corresponding clinical events) show that EP data might represent an approximation of vagal dysfunction and vagal recovery in GBS. Interestingly, we observed a much longer duration of pathological EP compared to a previous report. The tenacious cardiac dysautonomia in this patient necessitated long-term application of a transvenous temporary pacemaker.
DOI of the first publication: 10.3389/fneur.2020.483653
URL of the first publication:
Link to this record: urn:nbn:de:bsz:291--ds-402077
ISSN: 1664-2295
Date of registration: 26-Jul-2023
Faculty: M - Medizinische Fakultät
Department: M - Neurologie und Psychiatrie
Professorship: M - Prof. Dr. Klaus Faßbender
Collections:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

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