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CASE REPORT
Year : 2008  |  Volume : 52  |  Issue : 2  |  Page : 214-216

Bispectral Index Monitoring in Guillain Barre Syndrome with Dysautonomia


1 Ex- Senior Resident, Department of Neuroanaesthesiology, Neurosciences Centre, All India Institute of Medical Sciences (A.I.I.M.S.), New Delhi -110029, India
2 Senior Resident, Department of Neuroanaesthesiology, Neurosciences Centre, All India Institute of Medical Sciences (A.I.I.M.S.), New Delhi -110029, India
3 Assistant Professor, Department of Neuroanaesthesiology, Neurosciences Centre, All India Institute of Medical Sciences (A.I.I.M.S.), New Delhi -110029, India
4 Professor, Department of Neuroanaesthesiology, Neurosciences Centre, All India Institute of Medical Sciences (A.I.I.M.S.), New Delhi -110029, India

Correspondence Address:
Parmod K Bithal
Department of Neuroanaesthesiology, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi -110029
India
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Source of Support: None, Conflict of Interest: None


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Bispectral index (BIS) is commonly used as an index of depth of anaesthesia and sedation. BIS can provide an additional benefit in detecting a critical neurological event, especially if the change of neurological status is caused by the critical illness itself. We encountered such an incident where the BIS value was decreased in a patient with Guillain Barre Syndrome, possibly due to cerebral hypoperfusion. The present report emphasises that BIS can be used not only as an indicator of cerebral ischaemia, but also as a tool to judge adequacy and efficacy of interventions targeted to restore the same.


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