Journal of Electrodiagnosis and Neuromuscular Diseases (대한근전도전기진단의학회지)

Korean Association of EMG Electrodiagnostic Medicine (대한근전도전기진단의학회)
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Guillain-Barre Syndrome after Minimally Invasive Lumbar Procedure: A Case Report

요추부 최소침습적 시술 후 길랑-바레 증후군: 증례보고

  • Lee, Bong-Yeon (Department of Physical Medicine and Rehabilitation, Gwangju Veterans Hospital) ;
  • Yoon, Seo-Ra (Department of Physical Medicine and Rehabilitation, Gwangju Veterans Hospital) ;
  • Ryu, Su-Ra (Department of Physical Medicine and Rehabilitation, Gwangju Veterans Hospital) ;
  • Choe, Yu-Ri (Department of Physical Medicine and Rehabilitation, Gwangju Veterans Hospital)
  • 이봉연 (광주보훈병원 재활의학과) ;
  • 윤서라 (광주보훈병원 재활의학과) ;
  • 류수라 (광주보훈병원 재활의학과) ;
  • 최유리 (광주보훈병원 재활의학과)
  • Received : 2018.08.20
  • Accepted : 2018.10.09
  • Published : 2018.12.31
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Abstract

Guillain-Barre syndrome (GBS) after trauma and general orthopedic surgery is rare. A 74-year-old woman showed ascending paralysis symmetrically, dysarthria, dysphagia and areflexia on 14 days after minimally invasive endoscopic thermoannuloplasty on L4-5 level. Brain and lumbar magnetic resonance imaging demonstrate no abnormal findings. The electrodiagnostic study showed prolonged distal motor, sensory latencies and F-wave latencies and reduced amplitude of compound muscle action potential in nerves of upper and lower extremities. In the cerebrospinal fluid (CSF) examination, total protein and IgG were increased. We diagnosed Guillain-Barre Syndrome based on clinical features, electrodiagnostic study and CSF examination and the patient improved symptoms after immunoglobulin injection and rehabilitation. Because the occurrence of GBS after minimally invasive procedure has not been reported, we report a case of GBS after minimally invasive procedure with literature review.

Keywords

References

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