Guillain Barre Syndrome: A Rare Presentation Mimicking Acute Stroke

Abbas, Naeem and Aldabag, Saddam and Akbar, Ghulam and Hossain, Mohammad and Al-Azzawi, Hasan and Boling, Gretchen and Yousf, Abdalla (2014) Guillain Barre Syndrome: A Rare Presentation Mimicking Acute Stroke. British Journal of Medicine and Medical Research, 4 (15). pp. 3009-3015. ISSN 22310614

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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.

Item Type: Article
Subjects: Pustaka Library > Medical Science
Depositing User: Unnamed user with email support@pustakalibrary.com
Date Deposited: 20 Jan 2024 10:53
Last Modified: 20 Jan 2024 10:53
URI: http://archive.bionaturalists.in/id/eprint/1153

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