Acute Onset of Guillain-Barré Syndrome After Elective Spinal Surgery

Autor: Ericka Simpson, Paul J. Holman, Andrew D. Livingston, Zain Boghani, Robert G. Grossman
Rok vydání: 2015
Předmět:
Zdroj: World Neurosurgery. 84:376-379
ISSN: 1878-8750
DOI: 10.1016/j.wneu.2015.03.036
Popis: Background Guillain-Barre syndrome (GBS) is an acute peripheral neuropathy caused by an autoimmune response against myelin of peripheral nerves. GBS has been reported after surgery, in general, and after spinal surgery, in particular. In most cases, GBS developed 1–3 weeks after surgery. Methods Report of 2 cases of GBS after elective spine surgery that developed in the immediate postoperative period. Results Within 1 and 3 hours after surgery, respectively, both patients developed ascending loss of motor and sensory function. They were taken back urgently to the operating room for wound exploration to ensure that an epidural hematoma had not developed. Cerebrospinal fluid studies and electromyography/nerve conduction velocity were then rapidly obtained and were compatible with acute inflammatory demyelinating polyradiculoneuropathy. Therapy was initiated with administration of intravenous immunoglobulin and plasmapheresis. Both patients made substantial motor recovery during the course of 1–2 years but have residual sensory abnormalities. Conclusions GBS developing acutely after spinal surgery is a rare occurrence but should be considered in the differential diagnosis of neurological deterioration after surgery. Rapid diagnosis and treatment are essential for recovery of neurological function.
Databáze: OpenAIRE
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