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Interdisciplinary rehabilitation of a patient with associated Bickerstaff brainstem encephalitis and Guillain-Barré syndrome
Lombet C , Gérard V , Lemaire C
Rev Med Liege 2021, 76(7-8),608-613Abstract : Bickerstaff brainstem encephalitis, Miller-Fisher syndrome and Guillain-Barré syndrome are related conditions and are now considered as part of a continuous clinical spectrum. In this report, we describe the case of a 24-year-old female patient showing paraparesis rapidly evolving into flaccid tetraparesis, areflexia, ophthalmoplegia, drowsiness, cognitive impairment and memory loss leading to the diagnosis of Bickerstaff brainstem encephalitis and Guillain-Barré syndrome overlap. With this example, we emphasize the importance of interdisciplinary rehabilitation care. Indeed such a combination of peripheral and central neurological deficits requests a multimodal approach. We show that early care benefits the autonomy and the quality of life of such patients.