¿Guillain Barre syndrome and inadequate secretion of antidiuretic hormone, is their relationship possible?
DOI:
https://doi.org/10.62486/agmu202447Keywords:
Guillain Barre Syndrome, hyponatremia, Hydroelectrolyte imbalance, Inappropriate ADH secretion syndromeAbstract
Guillain-Barré syndrome (GBS) is a polyradiculoneuropathy of acute onset and the most common cause of acute flaccid paralysis. It is characterized by the appearance of sensory and/or motor symptoms, accompanied by a decrease or absence of muscle stretch reflexes and other symptoms such as facial paralysis, altered eye movements, bulbar symptoms, altered wakefulness, dysautonomia and ataxia. On the other hand, hydroelectrolyte disorders are associated with serious neurological diseases as a poor prognostic factor; the most affected electrolyte is sodium; in fact, hyponatremia is the most common disorder in hospitalized patients, regardless of the cause; in GBS, it is a frequent finding on admission. It is important to recognize hyponatremia, due to its high morbidity and mortality; it is also a marker of an underlying disease. Syndrome of inappropriate secretion of antidiuretic hormone (SSIADH) is the most common cause of hyponatremia and has been associated with Guillain Barre syndrome; in this way, its diagnosis is a challenge for the doctor; finally, below we describe details of a 70-year-old male patient who was admitted to the intensive care unit, with hyponatremia with a SSIHAD, with good subsequent evolution.
References
González Rabelino G. Parálisis flácida en la infancia. Arch. Pediatr. Urug. [Internet]. 2006 Oct [consultado el 10 de mayo del 2024] ; 77( 3 ): 308-312. Disponible en: http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-12492006000300017&lng=es
Cui H, He G, Yang S, Lv Y, Jiang Z, Gang X, Wang G. Inappropriate Antidiuretic Hormone Secretion and Cerebral Salt-Wasting Syndromes in Neurological Patients. Front Neurosci. [Internet]. 2019 Nov 8 [consultado el 10 de mayo del 2024];13:1170. Disponible en: doi: 10.3389/fnins.2019.01170 DOI: https://doi.org/10.3389/fnins.2019.01170
Expósito J, Carrera L, Natera D, Nolasco G, Nascimiento A, Ortez C. Síndrome de Guillain-Barré y otras neuropatías autoinmunes: tratamiento actual [Guillain-Barré syndrome and other autoimmune neurophaties: current therapy]. Medicina (B Aires) [Internet]. 2022 Aug 30 [consultado el 10 de mayo del 2024]; 82 Suppl 3:82-88. Disponible en: https://pubmed.ncbi.nlm.nih.gov/36054864/
Martin-Grace J, Tomkins M, O’Reilly MW, Thompson CJ, Sherlock M. Approach to the Patient: Hyponatremia and the Syndrome of Inappropriate Antidiuresis (SIAD). The Journal of Clinical Endocrinology & Metabolism [Internet]. el 14 de julio de 2022 [consultado el 8 de mayo de 2024];107(8):2362–76. Disponible en: https://academic.oup.com/jcem/article/107/8/2362/6578514 DOI: https://doi.org/10.1210/clinem/dgac245
Ortiz-Flores AE, Araujo-Castro M, Pascual-Corrales E, Escobar-Morreale HF. Síndrome de secreción inadecuada de hormona antidiurética. Medicine - Programa de Formación Médica Continuada Acreditado [Internet]. octubre de 2020 [consultado el 20 de junio de 2024];13(18):1000–6. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0304541220302407 DOI: https://doi.org/10.1016/j.med.2020.10.002
Ellison DH, Berl T. Clinical practice. The syndrome of inappropriate antidiuresis. N Engl J Med [Internet]. 2007 May 17 [consultado el 20 de marzo de 2024];356(20):2064-72. Disponible en: doi: 10.1056/NEJMcp066837 DOI: https://doi.org/10.1056/NEJMcp066837
James J. Syndrome of Inappropriate Secretion of Antidiuretic Hormone Preceding Guillain-Barré Syndrome. JCDR [Internet]. 2017 [consultado el 8 de mayo de 2024]; Disponible en: http://jcdr.net/article_fulltext.asp?issn=0973-709x&year=2017&volume=11&issue=9&page=OD16&issn=0973-709x&id=10662
Saifudheen K, Jose J, Gafoor VA, Musthafa M. Guillain-Barré syndrome and SIADH. Neurology [Internet]. el 22 de febrero de 2011 [consultado el 8 de mayo de 2024];76(8):701–4. Disponible en: https://www.neurology.org/doi/10.1212/WNL.0b013e31820d8b40 DOI: https://doi.org/10.1212/WNL.0b013e31820d8b40
Diaz G. Hiponatremia y terapia con inmunoglobulina endovenosa: a propósito de un paciente con síndrome de sobreposición. Rev. chil. reumatol [Internet]; 27(2): 74-76, 2011. [consultado el 8 de mayo de 2024]. Disponible en: r-483-1-1343957668.pdf.
Seay NW, Lehrich RW, Greenberg A. Diagnosis and Management of Disorders of Body Tonicity—Hyponatremia and Hypernatremia: Core Curriculum 2020. American Journal of Kidney Diseases [Internet]. febrero de 2020 [consultado e el 8 de mayo de 2024];75(2):272–86. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0272638619309436 DOI: https://doi.org/10.1053/j.ajkd.2019.07.014
Adrogué HJ, Tucker BM, Madias NE. Diagnosis and Management of Hyponatremia: A Review. JAMA [Internet]. el 19 de julio de 2022 [consultado el 8 de mayo de 2024];328(3):280. Disponible en: https://jamanetwork.com/journals/jama/fullarticle/2794358 DOI: https://doi.org/10.1001/jama.2022.11176
Maruichi MD, Pai CYW, Amadeo G, Lopes RN, Tieppodos CA. Síndrome de secreción hormonal inadecuada. antidiurético. 13. Shah PM, Dhakre VW, Veerasuri R, Bhabhor A. Dysautonomia and hyponatraemia as harbingers of Guillain-Barre syndrome. BMJ Case Rep [Internet]. abril de 2019 [consultado el 8 de mayo de 2024];12(4):e226925. Disponible en: https://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-226925 DOI: https://doi.org/10.1136/bcr-2018-226925
Martínez-Piña DA, Medina-Gómez V, García-Hernández JF, Vargas-Cañas ES, Violante-Villanueva A, López-Hernández JC. Guillain-Barre syndrome with hyponatremia, more than a simple finding. RMN [Internet]. el 16 de mayo de 2023 [consultado el 8 de mayo de 2024];24(3):10529. Disponible en: https://www.revmexneurociencia.com/frame_esp.php?id=217 DOI: https://doi.org/10.24875/RMN.22000081
Jones DP. Syndrome of Inappropriate Secretion of Antidiuretic Hormone and Hyponatremia. Pediatrics In Review [Internet]. el 1 de enero de 2018 [consultadoo el 8 de mayo de 2024];39(1):27–35. Disponible en: https://publications.aap.org/pediatricsinreview/article/39/1/27/35073/Syndrome-of-Inappropriate-Secretion-of DOI: https://doi.org/10.1542/pir.2016-0165
Çakırgöz MY, Duran E, Topuz C, Kara D, Turgut N, Türkmen ÜA, et al. Síndrome de secreción inapropiada de hormona antidiurética relacionado con el síndrome de Guillain-Barré tras colecistectomía laparoscópica. Brazilian Journal of Anesthesiology (Edicion en Espanol) [Internet]. mayo de 2014 [consultado el 8 de mayo de 2024];64(3):195–8. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S2255496313001335 DOI: https://doi.org/10.1016/j.bjanes.2013.03.009
Diagnóstico y tratamiento síndrome de Guillain-Barre, segundo y tercer nivel de
atención. Instituto Mexicano de Seguridad Social. Dirección de prestaciones médicas.
Unidad de atención médica. Guía práctica clínica. 2016. [Internet]. Disponible en:
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Copyright (c) 2024 Carmen Laura Garcés Hazou, Rommer Alex Ortega Martinez, Giovana Marleny Sanabria García (Author)
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