Neurogenic heterotopic ossification in Guillain-Barre syndrome: a rare case report.
J Musculoskelet Neuronal Interact
; 20(1): 160-164, 2020 03 03.
Article
de En
| MEDLINE
| ID: mdl-32131381
ABSTRACT
Neurogenic heterotopic ossification (NHO) is an abnormal development of bone in extra-skeletal tissues, related to neurological disease. NHO is frequently seen after traumatic brain injury or spinal cord injury. NHO may also occur as a rare complication of Guillain Barre Syndrome (GBS). Here, we present a 39 year old man with an acute onset of GBS who developed NHO around both hips two months after the disease onset. Our patient had a history of mechanical ventilation, incomplete tetraplegia and prolonged immobilisation. The pathogenesis of NHO is unclear. Various risk factors have been associated with the development of NHO; prolonged coma, long-term sedation, spasticity, degree of paralysis. NHO is a rare complication of GBS and physicians should be aware that it can develop especially in patients with severe paralysis and in need of mechanical ventilation. Pain and restriction of movements, especially in the hips, should bring NHO to the mind.
Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Ossification hétérotopique
/
Syndrome de Guillain-Barré
Type d'étude:
Risk_factors_studies
Limites:
Adult
/
Humans
/
Male
Langue:
En
Journal:
J Musculoskelet Neuronal Interact
Sujet du journal:
FISIOLOGIA
/
NEUROLOGIA
/
ORTOPEDIA
Année:
2020
Type de document:
Article
Pays d'affiliation:
Turquie