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Guillain-Barre syndrome,or acute inflammatory demyelinating polyradiculoneuropathy,is frequently accompanied by cardiac or autonomic dysfunction.We report a patient in whom minor autonomic stimulation by upgaze,tongue protrusion,opening the mouth against resistance,eyeball pressure,and carotid sinus massage produced asystole.The frequency of potentially lethal dysrhythmias in Guillain-Barre syndrome,coupled with the relative ease of cardiac pacing,makes recognition of these phenomena of utmost importance in affected patients. |
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