Guillain-Barré Syndrome, Case Studies and Questionnaire to Illustrate Junior Doctors' Awareness of Muscle Strength Testing

1998 ◽  
Vol 29 (01) ◽  
pp. 23-25
Author(s):  
Rosie Yip ◽  
J. Heckmatt
Keyword(s):  
Muscle Strength ◽  
Case Studies ◽  
Guillain Barre Syndrome ◽  
Junior Doctors ◽  
Strength Testing ◽  
Guillain Barré Syndrome ◽  
Guillain Barré

scholarly journals Guillain-Barre Syndrome in a patient with SARS-CoV-2 infection: Case Report

2021 ◽  
Author(s):  
Louis Fernando Marques de Almeida ◽  
Déborah Inayara Mendes Tenório de Albuquerque ◽  
Érico Induzzi Borges ◽  
Marcele Schettini ◽  
Herval Ribeiro Soares Neto ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Case Report ◽  
Muscle Strength ◽  
Neurological Complication ◽  
Laboratory Diagnosis ◽  
Lower Limbs ◽  
Guillain Barre Syndrome ◽  
Strength Grade ◽  
Guillain Barré Syndrome ◽  
Guillain Barré

Introduction: Guillain-Barré syndrome is an acute/subacute set of clinical features of immune mediated polyradiculoneuropathy, typically after respiratory or gastrointestinal viral infection. In this scenario, we described a case of the syndrome mentioned after infection by sars-cov-2 virus. Objectives and Methods: Description of a clinical case after analysis of medical history and complementary exams, in addition to literature review. Design and Setting: Case report, type of descriptive study, developed in the Institute of Medical Assistance to the State Public Servant of São Paulo. Results: A 68-year-old female patient with clinical and laboratory diagnosis of coronavirus infection, hospitalized in need of oxygen supplementation, which evolved after twelve days of symptoms with hypoesthesia on legs and feet and progressively ascending and symmetrical flaccid paraparesis that led to tetraparesis. Neurological examination showed tetraparesis (muscle strength: grade III in MMSS and grade II in MMII), hyporeflexia in MMSS and reflexes abolished in the lower limbs, plantar skin reflex in flexion in both feet, preserved facial mimicry. About complementary tests, it presented cerebrospinal fluid with albuminocytologic dissociation (cell: 1, protein: 89, glucose: 86), RT-PCR for sars-cov-2 research in cerebrospinal fluid, inconclusive, in addition to four-limb electroneuromyography performed after 19 days of onset of neurological condition, indicated polyradiculoneuropathy with involvement of sensory and motor fibers, primarily demyering. Treatment with human immunoglobulin 400 mg/kg/day for 05 days was started. The reported patient was dismissed from the hospital with significant improvement, presenting muscle strength: grade V in MMSS and grade IV in MMII and already with the ability to walk. Conclusions: the case describes a classic neurological complication associated with a virus that was once non-circulating, but currently with a big clinical relevance.

scholarly journals Change of Muscle Fatigability in Patients with Guillain-Barre Syndrome in the Improvement of Muscle Strength.

1998 ◽  
Vol 13 (1) ◽  
pp. 33-38
Author(s):  
KYOUSI MASE ◽  
HIROMITU KAMIMURA ◽  
SINOBU TANIZAKI ◽  
TOORU KOMURO ◽  
SHIGEYUKI IMURA ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Guillain Barre Syndrome ◽  
Guillain Barré Syndrome ◽  
Guillain Barré

scholarly journals Effect of Electromyographic Biofeedback Therapy on Muscle Strength Recovery in Children with Guillain–Barré Syndrome

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Qianqian Liu ◽  
Jianhua Xue ◽  
Pingping Zhao ◽  
Yue Ling ◽  
Suzhe Liu ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Guillain Barre Syndrome ◽  
Control Group ◽  
Biofeedback Therapy ◽  
Electromyographic Biofeedback ◽  
Strength Recovery ◽  
Guillain Barré Syndrome ◽  
Guillain Barré ◽  
Experimental Group ◽  
Better Than

GBS, as an immune-mediated acute inflammatory peripheral neuropathy (Tan and Halpin et al.), with the characteristics of acute onset and rapid progression, is mainly manifested with damages in nerve root and peripheral nerve. The purpose of the study was to investigate the effect of electromyographic biofeedback therapy on muscle strength recovery in children with Guillain–Barré syndrome (GBS). A total of 62 GBS children patients admitted to our hospital from June 2014 to December 2018 were selected and divided into control group (n = 30) and experimental group (n = 32) according to the order of admission. The children patients in the control group received physical therapy combined with occupational therapy (PT + OT), while based on the treatment in the control group, the experimental group children patients were treated with electromyographic biofeedback therapy. After that, the recovery of nerve and muscle at different time points, muscle strength score, gross motor function measure (GMFM) score, and Barthel index (BI) score of the children patients before and after treatment were compared between the two groups. There were no significant differences in the recovery of nerve and muscle of the children patients between the two groups at T0 and T1 ( P  > 0.05), and the recovery of nerve and muscle of the children patients in the experimental group was significantly better than that in the control group at T2, T3, and T4 (P < 0.001); the muscle strength score, GMFM score, and BI score of the children patients in the experimental group were significantly better than those in the control group after treatment ( P  < 0.001). The application of electromyographic biofeedback therapy for the treatment of GBS can effectively relieve clinical symptoms, promote rapid recovery, and improve treatment efficacy in children patients, which is worthy of application and promotion.

scholarly journals A Rare Axonal Variant of Guillain-Barré Syndrome as a Neurological Complication of COVID-19 Infection

2020 ◽  
Vol 23 (10) ◽  
pp. 718-721
Author(s):  
Mojgan Agha Abbaslou ◽  
Maryam Karbasi ◽  
Hossein Mozhdehipanah
Keyword(s):  
Muscle Strength ◽  
Axonal Neuropathy ◽  
Neurological Complication ◽  
Signs And Symptoms ◽  
Neurological Complications ◽  
Guillain Barre Syndrome ◽  
Neurological Signs ◽  
Guillain Barré Syndrome ◽  
Guillain Barré ◽  
Progressive Weakness

Guillain–Barré syndrome (GBS) is a neurological disorder accompanied by several neurological signs and symptoms including progressive weakness and diminished or decreased reflexes. GBS was reported as one of the several neurological complications in MERS-CoV and SARS-CoV outbreaks. Several studies have reported GBS as a neurological complication in recent COVID-19 outbreak. We report on the case of a 55-years -old female who was hospitalized with dyspnea, dry cough, and myalgia. She developed Acute Motor & Sensory Axonal Neuropathy (AMSAN), a rare variant of GBS signs and symptoms including decreased muscle strength and pinprick sensation in both lower extremities during her hospitalization.

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