Clinical, electrophysiological findings and evaluation of prognosis of patients with guillain-barré syndrome

This paper reports a case of dengue in a six-year-old female child who suddenly developed excruciating headaches, fever, myalgia and paresis. Laboratory examinations included blood count, platelet count, biochemical tests (BUN, creatinine, aminotransferases, and total bilirubin and bilirubin fractions) and specific IgM titers (enzyme-immunoassay with recombinant tetravalent dengue). After ten days of hospitalization and having already been in a home environment, a new clinical image emerged, characterized by dysphagia, dysphonia, weakness, peripheral facial palsy and paresthesia. The diagnosis of Guillain-Barré Syndrome was based on clinical findings, cerebrospinal fluid examination, electrophysiological findings and the exclusion of other pathologies. Our case, as some shown in previous reports, calls attention to the possibility that Guillain-Barré Syndrome may occur in association with dengue.

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Electrophysiological findings in 27 consecutive cases of Guillain-Barré syndrome

Electroencephalography and Clinical Neurophysiology ◽

10.1016/s0013-4694(97)88362-2 ◽

1997 ◽

Vol 103 (1) ◽

pp. 89

Author(s):

A Gabellini

Keyword(s):

Guillain Barre Syndrome ◽

Guillain Barré Syndrome ◽

Electrophysiological Findings ◽

Guillain Barré

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Serial electrophysiological findings in Guillain–Barré syndrome not fulfilling AIDP or AMAN criteria

Journal of Neurology ◽

10.1007/s00415-016-8192-2 ◽

2016 ◽

Vol 263 (9) ◽

pp. 1709-1718 ◽

Cited By ~ 2

Author(s):

Takafumi Hosokawa ◽

Hideto Nakajima ◽

Kiichi Unoda ◽

Kazushi Yamane ◽

Yoshimitsu Doi ◽

...

Keyword(s):

Guillain Barre Syndrome ◽

Guillain Barré Syndrome ◽

Electrophysiological Findings ◽

Guillain Barré

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Concomitant idiopathic hypertrophic spinal pachymeningitis and Guillain-Barré syndrome in a patient: coincidence or a triggering mechanism?

Journal of Neurosurgery Spine ◽

10.3171/2017.3.spine161112 ◽

2017 ◽

Vol 27 (3) ◽

pp. 335-340 ◽

Cited By ~ 3

Author(s):

Farouk Olubajo ◽

Tatyana Yermakova ◽

J. Robin Highley ◽

Vasileios Arzoglou

Keyword(s):

Diagnostic Criteria ◽

Clinical Examination ◽

Guillain Barre Syndrome ◽

International Literature ◽

Histological Findings ◽

Supportive Evidence ◽

Triggering Mechanism ◽

Guillain Barré Syndrome ◽

Electrophysiological Findings ◽

Guillain Barré

Idiopathic hypertrophic spinal pachymeningitis (IHSP), a rare diffuse inflammatory thickening of the dura mater, and Guillain-Barré syndrome (GBS) are known entities but they have never been reported as concomitant diagnoses. To their knowledge, the authors present the first reported case in the international literature with supportive evidence for both IHSP (based on MRI, intraoperative, and histological findings) and GBS (based on history, clinical examination, and electrophysiological findings). They review the literature on IHSP and the diagnostic criteria for GBS, with the view of identifying a possible causative connection.

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MO40 Clinical-electrophysiological findings and prognosis of Guillain-Barré syndrome

Clinical Neurophysiology ◽

10.1016/s1388-2457(08)60151-0 ◽

2008 ◽

Vol 119 ◽

pp. S41

Author(s):

Aysun Soysal ◽

Fikret Aysal ◽

Bahar Çalişkan ◽

Pelin Doğan ◽

Belgin Mutluay ◽

...

Keyword(s):

Guillain Barre Syndrome ◽

Guillain Barré Syndrome ◽

Electrophysiological Findings ◽

Guillain Barré

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Guillain-Barré syndrome after COVID-19 in Japan

BMJ Case Reports ◽

10.1136/bcr-2020-239218 ◽

2020 ◽

Vol 13 (10) ◽

pp. e239218

Author(s):

Takehisa Hirayama ◽

Yu Hongo ◽

Kenichi Kaida ◽

Osamu Kano

Keyword(s):

Lower Limb ◽

Endothelial Damage ◽

Neurological Symptoms ◽

Guillain Barre Syndrome ◽

Vascular Endothelial ◽

First Case ◽

Guillain Barré Syndrome ◽

Electrophysiological Findings ◽

Guillain Barré ◽

Antibody Tests

We report the first case of Guillain-Barré syndrome (GBS) associated with SARS-CoV-2 infection in Japan. A 54-year-old woman developed neurological symptoms after SARS-CoV-2 infection. We tested for various antiganglioside antibodies, that had not been investigated in previous cases. The patient was diagnosed with GBS based on neurological and electrophysiological findings; no antiganglioside antibodies were detected. In previous reports, most patients with SARS-CoV-2-infection-related GBS had lower limb predominant symptoms, and antiganglioside antibody tests were negative. Our findings support the notion that non-immune abnormalities such as hyperinflammation following cytokine storms and microvascular disorders due to vascular endothelial damage may lead to neurological symptoms in patients with SARS-CoV-2 infection. Our case further highlights the need for careful diagnosis in suspected cases of GBS associated with SARS-CoV-2 infection.

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