Multifocal Osteonecrosis and Guillain Barré Syndrome
DOI :
https://doi.org/10.25759/spmfr.258Mots-clés :
Guillain-Barre Syndrome, OsteonecrosisRésumé
Multifocal osteonecrosis, defined by the involvement of 3 or more anatomic sites, is unusual, being observed in only 3% to 11% of patients diagnosed with osteonecrosis. Guillain– Barré syndrome is an acute onset, usually monophasic immune-mediated disorder of the peripheral nervous system.
The aim of this article is to report a clinical case of multifocal osteonecrosis and Guillain–Barré syndrome with review of the literature.
We present a case of a 40-year-old male, with neurological symptoms who presented to the Emergency Department one week after a flu like syndrome. Myelitis was firstly suspected and corticosteroids were started. Diagnosis of Guillain–Barré syndrome was later confirmed and he underwent treatment with immunoglobulins. One year later, the patient developed bilateral hips and shoulders arthralgia. The diagnosis of multifocal osteonecrosis was established by magnetic resonance imaging. Total right hip arthroplasty was performed and a left one was planned. The patient underwent a rehabilitation program aiming pain relief and function improvement with a good outcome.
In the last ten years literature review, there were no reports of the association between Guillain–Barré syndrome and multifocal osteonecrosis.
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