{
  "abstract": "Guillain-Barre syndrome (GBS) is a rare but serious neurological condition due to autonomic instability, decreased respiratory function, and unpredictable medication responses, which can make pregnancy difficult and provide considerable anaesthetic issues. We report a case of a 23-year-old primigravida at 33 weeks of gestation who developed acute motor-sensory neuropathy consistent with GBS and subsequently required emergency caesarean delivery. In a remote healthcare setting with limited airway and ventilatory resources, spinal anaesthesia was chosen after a multidisciplinary evaluation as the patient had stable respiratory function, with no bulbar involvement, and a potentially difficult airway. The intraoperative and postoperative periods were uneventful, and no neurological deterioration was observed. This case shows that, in certain GBS parturients, spinal anaesthesia can be a safe substitute for general anaesthesia, especially in settings with limited resources. Additionally, it emphasises the management of neuromuscular illness in high-risk obstetric patients by coordinated decision-making, meticulous monitoring, and individualized assessment.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Anesthesiology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, India.",
    "Department of Anesthesiology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Manipal, India. prathvi.b@manipal.edu.",
    "Department of Anaesthesiology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India. prathvi.b@manipal.edu."
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Shilpa A Naik",
      "orcid": "0000-0001-5393-9001"
    },
    {
      "affs": [
        1,
        2
      ],
      "name": "Prathvi B",
      "orcid": "0009-0005-9065-4984"
    },
    {
      "affs": [
        0
      ],
      "name": "Ranjan R K"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/889yr4be1z1x1.bib",
  "cited_by": 0,
  "doi": "10.1186/s12871-026-04060-y",
  "fulltext_url": "https://europepmc.org/articles/PMC13726274",
  "id": "889yr4be1z1x1",
  "issns": [
    "1471-2253"
  ],
  "landing_url": "https://europepmc.org/article/MED/42967992",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Case Report"
    ],
    [
      "openalex",
      "2746|Anesthesia and Pain Management"
    ]
  ],
  "openalex": "W7172433372",
  "pdf_url": "https://europepmc.org/articles/PMC13726274?pdf=render",
  "pmcid": "PMC13726274",
  "pmid": "42967992",
  "published": "2026-08-05",
  "publisher": "BMC",
  "ris": "https://research.draconitic.com/paper/889yr4be1z1x1.ris",
  "sources": [
    {
      "first_seen": "2026-11-03T15:20:54Z",
      "native_id": "MED:42967992",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42967992"
    },
    {
      "first_seen": "2026-11-05T12:22:39Z",
      "native_id": "PMC13726274",
      "source": "pmc",
      "url": "https://doi.org/10.1186/s12871-026-04060-y"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Anesthesia and Pain Management",
      "subfield": "surgery"
    }
  ],
  "title": "Successful caesarean section under spinal anaesthesia in a pregnant woman with guillain-barré syndrome: a case report from a resource-limited setting.",
  "title_text": "Successful caesarean section under spinal anaesthesia in a pregnant woman with guillain-barré syndrome: a case report from a resource-limited setting.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-06T12:22:16Z",
  "url": "https://research.draconitic.com/paper/889yr4be1z1x1",
  "venue": "BMC anesthesiology",
  "versions": []
}