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Each of the theories or conceptual model represents a unique way directing nursing practice. Theories contribute to explain the meaning of scientific results and the emergence of new researches, as well as the use of information in a systematic way and the development and professionalization of the nursing profession. In this article, a 4-year-old male patient with Gullian-Barre syndrome, whose illness started with acute symptoms and progressed rapidly and who survived in a technologically dependent situation, was included in the nursing process with theory of technological competence.

Background: Although several reports have described the diagnosis and treatment of patients with COVID-19-associated Guillain-Barré syndrome (GBS), there is a paucity of literature describing the occupational and physical therapy (OT and PT) strategies used in the long-term acute care hospital (LTACH) setting to rehabilitate these patients. Objective: To expand this body of literature, we present a case report highlighting the treatment strategies used to rehabilitate and discharge an individual from an independent LTACH facility, following diagnosis and treatment of COVID-19-related GBS at a regional ACH. Methods: A 61-year-old male was admitted to an LTACH for the rehabilitation of GBS following COVID-19 infection and intravenous immunoglobulin treatment. Rehabilitation in the LTACH setting uses a variety of skilled treatment interventions to meet patient-driven goals and maximize their function to the highest level possible in preparation of their discharge to a subacute or homecare setting. In this case, this was accomplished through individual OT and PT sessions, OT/PT cotreatment sessions, and targeted group therapy sessions focused on leg, arm, and fine motor coordination exercises. Results: With the OT and PT standard of care, the patient's improvement was demonstrated by several outcome measures, including manual muscle testing, range of motion, grip strength, and the activity measure for postacute care. The patient was successfully rehabilitated and returned to the community after presenting with COVID-19-associated GBS. Conclusions: This report highlights the complex rehabilitation needs patients require to regain independence after diagnosis of COVID-19-associated GBS. [ABSTRACT FROM AUTHOR]

Guillain-Barré syndrome (GBS) is a major cause of acute neuropathy worldwide. The accurate classification of GBS subtypes is essential for diagnosis and prognosis, with acute inflammatory demyelinating polyneuropathy generally linked to more favorable outcomes. This case report examines a 65-year-old Sudanese man who experienced a six-day progression of symmetrical lower limb weakness and numbness, which rapidly escalated to significant motor impairment. Clinical evaluations and diagnostic tests identified primary demyelinating polyradiculoneuropathy with secondary axonal damage. Despite severe initial weakness and hypoxia, the patient showed significant recovery. Follow-up assessments confirmed full motor recovery and independent mobility. This case report aims to fill the gap in local data and provide valuable insights into the clinical features and outcomes of GBS in the Saudi Arabian context., Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Alsaedi et al.)

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Background: Infectious mononucleosis (IM) is an acute disease caused by Epstein-Barr virus (EBV) infection which affects adolescents and young adults. Clinically, IM is manifested by fever, lymphadenopathy and tonsillar pharyngitis. Neurological complications of IM include cranial nerve palsy, encephalitis, aseptic meningitis, transverse myelitis, peripheral neuritis, optic neuritis, encephalomyelitis, and rarely Guillain-Barré syndrome (GBS), especially the so-called overlapping/atypical variants, which in some cases can be life-threatening. Aim: The aim was to present a very rare and educational example of neurological complications during isolated reactivation of EBV infection in 15-year-old previously healthy girl. During hospitalization, she developed very serious neurological complications, as well as mesial temporal sclerosis and a minor cognitive deficit upon recovery. Case report: A 15-year-old girl was admitted for hospital treatment on the third day of a febrile illness with symptoms of viral meningoencephalitis. On the sixth day of hospitalization, she developed a series of generalized onset motor tonic-clonic seizures. A brain MRI showed diffuse meningitis and encephalitis localized in the left temporal region. EBV was proven from the cerebrospinal fluid. Other possible infectious causes were excluded. From the 14th day of hospitalization, the treatment was complicated by the development of Gullian-Barre syndrome and Miller-Fischer syndrome. Immunological processing was normal. Anti-MOG, antiganglioside antibodies, aquaporin antibodies, and panel for autoimmune encephalitis were negative. The therapy consisted of antiviral and anti-inflammatory medications and 8 cycles of plasmapheresis and levetiracetam as an anticonvulsant drug. With physical therapy there is no motor deficit, but she has learning difficulties, and mesial temporal sclerosis on the control brain MRI. Conclusion: With this clinical presentation it was necessary to exclude optic neuritis, multiple sclerosis, acute disseminated encephalomyelitis and myelin oligodendrocyte glycoprotein antibody-associated disease. Clinical monitoring, prevention of epileptic seizures with properly chosen antiepileptic therapy, and well-chosen timing of neurosurgical intervention will be especially demanding. [ABSTRACT FROM AUTHOR]

Mycoplasma pneumoniae is an important agent of the lower and upper respiratory system infections. It may result in some complications and clinical conditions other than infections. Meningoencephalitis, encephalitis, transverse myelitis, acute disseminated encephalomyelitis, cerebral infarction and Gullian-Barre syndrome are major neurological complications. We present here two cases with meningoencephalitis and Gullian-Barre syndrome secondary to Mycoplasma pneumoniae infection. [ABSTRACT FROM AUTHOR]

Isolated intracranial hypertension is a common manifestation of intracranial sino­venous thrombosis (ISVT). Markedly elevated intracranial tension presents with unusual features including cranial neuropathies and radiculopathy. We report two cases with ISVT, which presented with headache, papilledema, progressive visual loss, complete ophthalmoplegia and flaccid areflexic quadriparesis along with a normal sensorium. Magnetic resonance imaging (MRI) of the brain and cervical spinal cord showed no lesions that could account for the neurological deficits. Markedly elevated lumbar CSF pressure was noted in both cases. Nerve conduction study favored radiculopathy in one case and was normal in the other. Raised intracranial pressure was found to be the sole cause for the clinical manifestations. Visual impairment persisted in one patient despite lumbo-peritoneal shunting while the other died of septicemia. To our knowledge there are no previous reports of a syndrome comprising blindness, ophthalmoplegia and flaccid quadriplegia due to intracranial hypertension in ISVT. [ABSTRACT FROM AUTHOR]