Atypical Guillain-Barre Syndrome in a known Case of Lumbar Canal Stenosis – A Clinical Dilemma

Vol 31 | Issue 1 | Jan – Apr 2018 | page: 19-20 | Vivek Vincent, Sudar Sreekumar, K P Ramkumar.

Authors: Vivek Vincent [1], Sudar Sreekumar [1], K P Ramkumar  [1]

[1] Department of Orthopaedics, Metropolitan Hospital, Thrissur. India.

Address of Correspondence
Dr. Vivek Vincent Valiyaveettil
Department of Orthopaedics,
Metropolitan Hospital, Thrissur. India.
E-mail: drvivekvincent@gmail.com

Abstract

Introduction: Guillian Barre is an autoimmune syndrome characterised by acute inflammatory demyelinating polyneuropathy.Patients suffering from GBS typically have pain,numbness,paraesthesia and weakness in upper limbs and lower limbs.They do mimic symptoms of lumbar canal stenosis at certain occasions which can be very misleading and lead to a wrong diagnosis and management.Here,we report a case of a 60 yr old gentleman with an atypical GBS presentation with underlying lumbar canal stenosis.
Keywords: Atypical Guillain Barre, Lumbar canal stenosis

References

1. Jung DY, Cho KT, Lee SC. Atypical guillain-barré syndrome misdiagnosed as lumbar spinal stenosis. J Korean Neurosurg Soc 2013;53:245-8.

2. Abai S, Kim SB, Kim JP, Lim YJ. Guillain-barré syndrome combined with acute cervical myelopathy. J Korean Neurosurg Soc 2010;48:298-300.

3. Gurwood AS, Drake J. Guillain-barré syndrome. Optometry 2006;77:540-6.

4. Hughes RA, Cornblath DR. Guillain-barré syndrome. Lancet 2005;366:1653-66.

5. Logullo F, Manicone M, Di Bella P, Provinciali L. Asymmetric guillain-barré syndrome. Neurol Sci 2006;27:355-9.

6. Mulkey SB, Glasier CM, El-Nabbout B, Walters WD, Ionita C, McCarthy MH, et al. Nerve root enhancement on spinal MRI in pediatric guillain-barré syndrome. Pediatr Neurol 2010;43:263-9.

7. Pithadia AB, Kakadia N. Guillain-barré syndrome (GBS). Pharmacol Rep 2010;62:220-32.

8. Ruts L, Drenthen J, Jongen JL, Hop WC, Visser GH, Jacobs BC, et al. Pain in guillain-barre syndrome: A long-term follow-up study. Neurology 2010;75:1439-47.

9. Siebert E, Prüss H, Klingebiel R, Failli V, Einhäupl KM, Schwab JM, et al. Lumbar spinal stenosis: Syndrome, diagnostics and treatment. Nat Rev Neurol 2009;5:392-403.

10. Storm PB, Chou D, Tamargo RJ. Lumbar spinal stenosis, Cauda equina syndrome, and multiple lumbosacral radiculopathies. Phys Med Rehabil Clin N Am 2002;13:71333, ix.

11. van Doorn PA, Ruts L, Jacobs BC. Clinical features, pathogenesis, and treatment of guillain-barré syndrome. Lancet Neurol 2008;7:939-50.

12. Yikilmaz A, Doganay S, Gumus H, Per H, Kumandas S, Coskun A, et al. Magnetic resonance imaging of childhood guillain-barre syndrome. Childs Nerv Syst 2010;26:1103-8.

13. Yuki N, Kokubun N, Kuwabara S, Sekiguchi Y, Ito M, Odaka M, et al. Guillain-barré syndrome associated with normal or exaggerated tendon reflexes. J Neurol 2012;259:1181-90.

(Abstract)      (Full Text HTML)   (Download PDF)