Recurrent Guillain-Barré Syndrome: Case Report
DOI:
https://doi.org/10.25759/spmfr.202Keywords:
Guillain–Barré Syndrome/rehabilitationAbstract
Introduction: Guillain–Barré syndrome is a frequent acute or subacute polyneuropathy, resulting from an aberrant immune response directed to peripheral nerves, characterized by demyelinating and/or axonal neuropathy. Recurrence is rare and its existence is not consensual.
Case presentation: Male, 37 years old, history of severe Guillain–Barré syndrome in 2002, classified as axonal form. In 2012 he presented with acute and progressive motor weakness, involving the cranial nerves and respiratory distress. The electromyography results showed demyelinating motor and sensory polyneuropathy, with axonal component. He started intravenous immunoglobulin treatment with improvement of the neurological disabilities. He was transferred to our Hospital where he completed a broad rehabilitation program. He presented significant functional improvement.
Discussion: based on the clinical presentation, electromyography and laboratory results, we considered it a recurrent case of Guillain–Barré syndrome.
Downloads
References
Forsberg A, Press R, Einarsson U, Pedro-Cuesta J, Holmqvist L. Impairment in Guillain–Barré syndrome during the first 2 years after onset: a prospective study. J Neurol Sci. 2004; 227: 131–8.
Thomas NH. Diagnosis and management of Guillain–Barre syndrome. Curr Paediatr. 2005; 15: 287–91.
Forsberg A, Press R, Holmqvist L. Residual disability 10 years after falling ill in Guillain–Barré syndrome: A prospective follow-up study. J Neurol Sci. 2012; 317: 74–9.
Gupta VB, GuptaMR. Clinical variants of Guillain-Barré Syndrome. Apollo Med. 2008;5: 130-2.
Vucic S, Kiernan M, Cornblath D. Guillain-Barré syndrome: An update. J Clin Neurosci. 2009; 16:733–41.
Baba M, Matsunaga M, Narita S, Liu H. Recurrent Guillain-Barré syndrome in Japan. Intern Mede. 1995;34:1015–18.
Kuitwaard K, Koningsveld R, Ruts L, Jacobs B, Doorn B. Recurrent Guillain-Barré syndrome. J Neurol Neurosurg Psychiatry. 2009; 80:56–9.
Nadais G, Silveira F, Coya P, Pereira JA, Sá MJ, Descrição de um Caso de Polirradiculonevrite Axonal Motora Recorrente. Sinapse. 2001;1:72.
Peake D, Whitehouse W, Philip S. The management of Guillain–Barre syndrome. Curr Paediatr. 2004; 14: 252–7.
Mossberg N, Nordin M, Movitz C, Nilsson S, Hellstrand K, Bergstrom, et al. The recurrent Guillain-Barré syndrome: a long-term population based study. Acta Neurol Scand. 2012; 126: 154–61.
Winer JB. Guillain–Barré syndrome: Clinical variants and their pathogenesis. J Neuroimmunol.2011; 231: 70–2.
Baker MG, Kvalsvig A, Zhang J, Lake R, Sears A, Wilson N. Declining Guillain-Barré syndrome after Campylobacteriosis control, New Zealand, 1988–2010. Emerg Infect Dis. 2012;18:226–33.
Mateen FJ, Cornblath D, Jafari H, Shinohara RT, Khandit D, Ahuja B, et al. Guillain–Barré Syndrome in India: Population-based validation of the Brighton criteria. Vaccine. 2011;29: 9697–701.
Patel MB, Goyal S, Punnam S, Pandya K, Khetarpal V, Thakur R. Guillain-Barré Syndrome with asystole requiring permanent pacemaker: a case report.J Med Case Rep. 2009; 3:5.
Jayasena Y, Mudalige SP, Manchanayake G, Dharmapala H, Kumarasiri R, Weerasinghe V et al. Physiological changes during and outcome following ‘filtration’ based continuous plasma exchange in Guillain Barre Syndrome. Transfus Apher Sci.2010; 42: 109–13.
Dy M., Leshner R., Crawford J, An Unusual Case of Recurrent Guillain-Barre Syndrome of a Different Subtype Five Years after Initial Diagnosis. Case Rep Neurol Med. 2013;2013:356157
Downloads
How to Cite
Issue
Section
License
Copyright statement
Authors must also submit a copyright statement (as seen below) on article submission.
To the Editor-in-chief of the SPMFR Journal:
The below signed author(s) hereby state that the article
________________________________________ (ref. MFR_________) is
an original unpublished work and all facts stated are a product of the author(s) investigation. This article does not violate any copyright laws or privacy statements. The author(s) also hereby confirm that there is no conflict of interest's issues in this article.
By submitting this article the author(s) agree that after publication all copyrights belong to the SPMFR Journal.
Signed by all authors
Date:
Names (capital letters):
Signatures:
The SPMFR Journal’s contents are follow a Creative Commons licence. After publication the authors can hand out the articles as long as the SPMFR Journal is credited.