Guillain-Barré syndrome following severe head trauma and spine surgery.
Rev Neurol (Paris)
; 169(2): 166-8, 2013 Feb.
Article
em En
| MEDLINE
| ID: mdl-23079858
ABSTRACT
Guillain-Barré syndrome (GBS) is an acute-onset inflammatory polyradiculoneuropathy usually triggered by an infectious disease. In some cases, GBS can occur without any preceding infectious episode, like after vaccination, epidural anaesthesia or surgery. A 73 years old woman had head and spine trauma. Body-TDM showed bilateral temporal and right frontal haematomas and fracture of the first lumbar vertebrae. Sextant and kyphoplasty were performed. She presented 14 days after surgery tetraparesis, swallowing difficulties and bilateral facial palsy. Electromyography was consistent with demyelinating neuropathy. Cerebrospinal fluid examination found albumino-cytological dissociation. Viral and bacterial serology and antiganglioside antibodies were negative. She was treated with intravenous immunoglobulins. Four months after discharge she had fully recovered except left peripheral facial palsy. GBS can rarely be triggered by head trauma or spine surgery. Physician must keep in mind this diagnosis whenever their patients present acute-onset neurological worsening in such context.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
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Fraturas da Coluna Vertebral
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Traumatismos Cranianos Fechados
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Síndrome de Guillain-Barré
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Cifoplastia
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Vértebras Lombares
Tipo de estudo:
Etiology_studies
Limite:
Aged
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Female
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Humans
Idioma:
En
Revista:
Rev Neurol (Paris)
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
França