Development of Acute Inflammatory Demyelinating Polyneuropathy 11 Days after Spinal Surgery: A Case Report and Literature Review
Guillain–Barré syndrome (GBS) usually has a good prognosis; however, patients may develop sequelae without prompt treatment. We herein describe an 81-year-old woman who developed acute-onset excruciating thigh pain and weakness in her lower extremities after spinal surgery. We diagnosed acute inflam...
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| Format: | Article |
| Language: | English |
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2021-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2021/6283076 |
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| author | Eiichi Kakehi Tadataka Kawakami Yukiko Ishikawa Takashi Matsuoka Naoki Nakagawa Tugutake Morishita Shohei Taniguchi Yukinobu Akamatsu Shigehisa Sakurai Akane Hirotani Takafumi Nozaki Keisuke Shoji Seiji Adachi Kazuhiko Kotani Masami Matsumura |
| author_facet | Eiichi Kakehi Tadataka Kawakami Yukiko Ishikawa Takashi Matsuoka Naoki Nakagawa Tugutake Morishita Shohei Taniguchi Yukinobu Akamatsu Shigehisa Sakurai Akane Hirotani Takafumi Nozaki Keisuke Shoji Seiji Adachi Kazuhiko Kotani Masami Matsumura |
| author_sort | Eiichi Kakehi |
| collection | DOAJ |
| description | Guillain–Barré syndrome (GBS) usually has a good prognosis; however, patients may develop sequelae without prompt treatment. We herein describe an 81-year-old woman who developed acute-onset excruciating thigh pain and weakness in her lower extremities after spinal surgery. We diagnosed acute inflammatory demyelinating polyradiculoneuropathy by a nerve conduction study, which showed findings of demyelination without cerebrospinal fluid analysis because of a spinal prosthesis. Although anti-GM1 and anti-GalNAc-GD1a antibodies were positive, the patient was clinically diagnosed with acute inflammatory demyelinating polyradiculoneuropathy (a subtype of GBS), not acute motor axonal neuropathy. She recovered well with immunoglobulin therapy. A literature review of 18 cases revealed that unexplained weakness, areflexia, and numbness of the extremities after spinal surgery, a shorter time from spinal surgery to symptom onset to general GBS, abnormal nerve conduction study results, normal spinal imaging findings, and the development of atypical symptoms such as cranial and autonomic nerve syndrome and respiratory failure are useful for diagnosing GBS when cerebrospinal fluid examination cannot be performed after spinal surgery. |
| format | Article |
| id | doaj-art-e86b84675f85458dabf03d4a1a3548b7 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-e86b84675f85458dabf03d4a1a3548b72025-02-03T07:24:00ZengWileyCase Reports in Medicine1687-96271687-96352021-01-01202110.1155/2021/62830766283076Development of Acute Inflammatory Demyelinating Polyneuropathy 11 Days after Spinal Surgery: A Case Report and Literature ReviewEiichi Kakehi0Tadataka Kawakami1Yukiko Ishikawa2Takashi Matsuoka3Naoki Nakagawa4Tugutake Morishita5Shohei Taniguchi6Yukinobu Akamatsu7Shigehisa Sakurai8Akane Hirotani9Takafumi Nozaki10Keisuke Shoji11Seiji Adachi12Kazuhiko Kotani13Masami Matsumura14Department of General Medicine, Tottori Municipal Hospital, Tottori-City, Tottori, JapanDepartment of Neurology, Shin-Oyama City Hospital, Oyama-City, Tochigi, JapanCenter for Community Medicine, Jichi Medical University, Shimotsuke-City, Tochigi, JapanDepartment of Neurology, Tottori Municipal Hospital, Tottori-City, Tottori, JapanDepartment of Neurological Surgery, Tottori Municipal Hospital, Tottori-City, Tottori, JapanDepartment of Neurological Surgery, Tottori Municipal Hospital, Tottori-City, Tottori, JapanDepartment of General Medicine, Tottori Municipal Hospital, Tottori-City, Tottori, JapanDepartment of General Medicine, Tottori Municipal Hospital, Tottori-City, Tottori, JapanDepartment of General Medicine, Tottori Municipal Hospital, Tottori-City, Tottori, JapanDepartment of General Medicine, Tottori Municipal Hospital, Tottori-City, Tottori, JapanDepartment of General Medicine, Tottori Municipal Hospital, Tottori-City, Tottori, JapanDepartment of General Medicine, Tottori Municipal Hospital, Tottori-City, Tottori, JapanDepartment of General Medicine, Tottori Municipal Hospital, Tottori-City, Tottori, JapanCenter for Community Medicine, Jichi Medical University, Shimotsuke-City, Tochigi, JapanCenter for Community Medicine, Jichi Medical University, Shimotsuke-City, Tochigi, JapanGuillain–Barré syndrome (GBS) usually has a good prognosis; however, patients may develop sequelae without prompt treatment. We herein describe an 81-year-old woman who developed acute-onset excruciating thigh pain and weakness in her lower extremities after spinal surgery. We diagnosed acute inflammatory demyelinating polyradiculoneuropathy by a nerve conduction study, which showed findings of demyelination without cerebrospinal fluid analysis because of a spinal prosthesis. Although anti-GM1 and anti-GalNAc-GD1a antibodies were positive, the patient was clinically diagnosed with acute inflammatory demyelinating polyradiculoneuropathy (a subtype of GBS), not acute motor axonal neuropathy. She recovered well with immunoglobulin therapy. A literature review of 18 cases revealed that unexplained weakness, areflexia, and numbness of the extremities after spinal surgery, a shorter time from spinal surgery to symptom onset to general GBS, abnormal nerve conduction study results, normal spinal imaging findings, and the development of atypical symptoms such as cranial and autonomic nerve syndrome and respiratory failure are useful for diagnosing GBS when cerebrospinal fluid examination cannot be performed after spinal surgery.http://dx.doi.org/10.1155/2021/6283076 |
| spellingShingle | Eiichi Kakehi Tadataka Kawakami Yukiko Ishikawa Takashi Matsuoka Naoki Nakagawa Tugutake Morishita Shohei Taniguchi Yukinobu Akamatsu Shigehisa Sakurai Akane Hirotani Takafumi Nozaki Keisuke Shoji Seiji Adachi Kazuhiko Kotani Masami Matsumura Development of Acute Inflammatory Demyelinating Polyneuropathy 11 Days after Spinal Surgery: A Case Report and Literature Review Case Reports in Medicine |
| title | Development of Acute Inflammatory Demyelinating Polyneuropathy 11 Days after Spinal Surgery: A Case Report and Literature Review |
| title_full | Development of Acute Inflammatory Demyelinating Polyneuropathy 11 Days after Spinal Surgery: A Case Report and Literature Review |
| title_fullStr | Development of Acute Inflammatory Demyelinating Polyneuropathy 11 Days after Spinal Surgery: A Case Report and Literature Review |
| title_full_unstemmed | Development of Acute Inflammatory Demyelinating Polyneuropathy 11 Days after Spinal Surgery: A Case Report and Literature Review |
| title_short | Development of Acute Inflammatory Demyelinating Polyneuropathy 11 Days after Spinal Surgery: A Case Report and Literature Review |
| title_sort | development of acute inflammatory demyelinating polyneuropathy 11 days after spinal surgery a case report and literature review |
| url | http://dx.doi.org/10.1155/2021/6283076 |
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