Guillain Barre Syndrome: A Rare Presentation Mimicking Acute Stroke
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2014, Vol 4, Issue 15
Abstract
Guillain Barre Syndrome (GBS) is an acute neuromuscular weakness and paralysis associated with areflexia and often spontaneous recovery, but carries the potential risk of respiratory depression owing to muscle weakness. Worldwide, 1 to 3 cases/100,000 are reported. The syndrome is most commonly reported as symmetrical ascending weakness in arms and legs accompanied by hyporeflexia or areflexia. Sensory disturbances are not required for diagnosis, but may or may not be present. Acute inflammatory demyelinating poly-radiculoneuropathy (AIDP) is the most common variant, but acute motor and sensory axonal neuropathy (ASMAN) is more severe and usually leads to partial or slow recovery. We present a case of GBS presenting with asymmetric weakness and sensory disturbance in a patient with bloody diarrhea of unknown etiology. This patient had asymmetrical paralysis mimicking stroke, but the physical findings, laboratory studies, normal CT and MRI of the brain, Electromyogram (EMG) and the patient’s improvement with Intravenous Immunoglobulin (IVIG) support the diagnosis of GBS. People with inflammatory bowel disease are at increased risk of developing GBS. Persons with antecedent Campylobacter jejuni infections are 77 percent more likely to contract GBS compared to the general population, and Cytomegalovirus (CMV) and Epstein Barr virus (EBV) are also implicated risk factors.
Authors and Affiliations
Naeem Abbas, Saddam Aldabag, Ghulam Akbar, Mohammad Hossain, Hasan Al-Azzawi, Gretchen Boling, Abdalla Yousif
Keywords
Related Articles
- EP ID EP349481
- DOI 10.9734/BJMMR/2014/7226
- Views 77
- Downloads 0
Assessment of Biochemical Changes in Pregnancy Induced Hypertension (PIH) among Saudi Population at KAMC-Riyadh
Background: One of the most common complications that affect around 2-5% pregnant women is elevated blood pressure defined as gestational hypertension. Aims & Objective: To compare and correlate between plasma urea, cre...
Seroprevalence of Hepatitis B and C Infections among Adult Males in Beit al-Faqih District, Al-Hodeidah Governorate, Republic of Yemen
Background: Hepatitis B virus (HBV) and Hepatitis C virus (HCV) are major causes of liver disease worldwide and can cause acute and chronic hepatitis which may lead to hepatic cirrhosis or even cancer, thus creating a si...
Fatal Superadded Nocardia Infection in a Case of Pulmonary Aspergillosis
Pulmonary nocardiosis is a severe opportunistic infection in which chronic lung disease along with long term steroid therapy is the most significant predisposing factor. Demonstration of Nocardia in even potentially cont...
Epidemiological Study of Cutaneous Leishmaniasis during 2009 to 2014 in Kashan, Iran: A Potential Intra-domiciliary Transmission of the Disease
Aims: In this research, the epidemiological status of cutaneous leishmaniasis was investigated in Kashan city, central of Iran. Study Design and Setting: A cross-sectional study was carried out in Kashan city, central of...
Erupting Odontome- A Compilation of Two Rare Case Reports
Odontomas are the most common type of benign odontogenic tumours; they are asymptomatic and are often discovered during routine radiographs of the jaws. Odontomes can be used as stem cell reservoirs and generally eruptio...