Atuação fisioterapêutica Hospitalar na Neuropatia Axonal Sensitivo-Motora Aguda: relato de caso

Introduction. Guillain–Barré syndrome is an inflammatory disease of the peripheral nervous system and is the most common cause of acute flaccid paralysis. Objective. To report the clinical case of a patient diagnosed with Acute Sensory-Motor Axonal Neuropathy (AMSAN), its treatment, the physiotherapeutic approach and the evolution of the clinical condition during the period of hospitalization. Method. This is a case report that occurred at the University Hospital of Western Paraná, carried out through the analysis of electronic medical records (TASY Software). Case Report. Male patient, 33 years old, admitted to the Emergency Room of the University Hospital of Western Paraná on 12/20/2023. Referred due to weakness and paresthesia in the lower limbs that began twenty days ago and with progressive and gradual worsening. In the Electromyography exam, he was diagnosed with AMSAN, which is a severe variant of GBS. Within a few weeks, his condition worsened and on January 25, 2024, he was transferred from the ward to the Intensive Care Unit (ICU) due to an episode of bronchoaspiration. Upon admission to the ICU, the medical team opted for orotracheal intubation. He was discharged to the ward on March 26, 2024. The patient underwent physical therapy daily throughout his hospitalization, totaling 24 weeks. Conclusion. Physical therapy was essential in the rehabilitation of the respiratory and musculoskeletal systems, contributing to improving muscle strength, postural control, and patient autonomy.