Guillain-Barré sendromu ile komplike bir gebelikte normal doğum

Gebeliğin akut idiopatik polinöropatilerin (Guillain-Barré Sendromu) etyopatogenezi ve prognozuna belirgin bir etkisinin olmadığı düşünülmesine rağmen, özellikle ileri motor disfonksiyonlarla giden gebelerde değişik obstetrik yaklaşımlar önerilmektedir. Kliniğimizde 3. trimesterda başlayan akut idiopatik polinöropati tanısı alan intrapartum ve postpartum hiç bir maternal komplikasyon gelişmeden spontan vajinal yolla sağlıklı bir bebeğin doğması bu hastalarda konservatif bir obstetrik yaklaşımın yararlı olabileceğini düşündürmektedir. Hastanın sunumu, tanı, tedavi ve sonuçları ile birlikte literatür gözden geçirilecektir.

Anahtar Kelimeler:

Guillain-Barré sendromu, Hamilelik, Spontan vajinal doğum, İmmunoglobulin

Spontaneous vaginal delivery after a pregnancy complicated with Guillain-Barré syndrome

Guillain-Barré syndrome (GBS) is a rarely encountered, acute autoimmune polyradiculoneuropathy which is usually severe and fulminant. Although it is considered not to have an impact on the prognosis of pregnancy, there is no consensus on its management particularly in pregnant women with advanced motor dysfunctions. Different obstetrical approaches have been suggested. Herein, we discussed a case, which has been diagnosed with GBS in the 3rd trimester in our clinic and gave birth to a healthy infant via spontaneous vaginal delivery without any intrapartum or postpartum maternal complication. Patient presentation, diagnosis, treatment and outcome as well of review of the literature will be discussed.

Keywords:

Guillain-Barré syndrome, Pregnancy, Spontaneous vaginal delivery, Immunoglobulin,

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