{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T07:56:25Z","timestamp":1774511785184,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Guillain\u2010Barr\u00e9 syndrome (GBS) is a rare, immune\u2010mediated neurological disorder that can be challenging to diagnose in postoperative patients due to atypical manifestations and overlapping conditions. This case report highlights the diagnostic and therapeutic challenges of GBS following vascular surgery. We present the case of a 56\u2010year\u2010old man scheduled for elective femoro\u2010popliteal bypass surgery. The initial neurological development of the patient's GBS was masked by delirium requiring sedation and culminated with cardio\u2010respiratory arrest in the 72\u2009h following admission in the post\u2010operative care unit for surveillance. The patient subsequently developed a profound coma with flaccid quadriplegia. A search for the etiology of these symptoms was initiated, with a belated diagnosis of GBS, but with a positive, albeit partial, response to treatment by intravenous immunoglobulin administration. As in this case report, GBS in a post\u2010surgical setting should not be expected in its classical form, frequently characterized by a more severe clinical presentation regarding the onset of symptoms, associated dysautonomia and atypical, yet possible encephalopathy.<\/jats:p>","DOI":"10.1002\/ccr3.72064","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T23:57:56Z","timestamp":1773014276000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Differential Diagnosis of Coma in the\n                    <scp>ICU<\/scp>\n                    : Hyperacute Postoperative Guillain\u2010Barr\u00e9 Syndrome\u2014A Case Report"],"prefix":"10.1002","volume":"14","author":[{"given":"Miron","family":"Tiganas","sequence":"first","affiliation":[{"name":"Department of Anesthesia and Intensive Care Cluj County Emergency Clinical Hospital  Cluj\u2010Napoca Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7435-271X","authenticated-orcid":false,"given":"Abdulrahman","family":"Ismaiel","sequence":"additional","affiliation":[{"name":"2nd Department of Internal Medicine Iuliu Hatieganu University of Medicine and Pharmacy  Cluj\u2010Napoca Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6730-7045","authenticated-orcid":false,"given":"Dan Sebastian","family":"Dirzu","sequence":"additional","affiliation":[{"name":"STAR\u2010UBB Institute Babe\u0219\u2010Bolyai University  Cluj\u2010Napoca Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iris","family":"Aszalos","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care Cluj County Emergency Clinical Hospital  Cluj\u2010Napoca Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,26]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"StatPearls","author":"Nguyen T. 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